Surgical management of hilar cholangiocarcinoma: the Nagoya experience

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Surgical management of hilar cholangiocarcinoma.

OBJECTIVE To assess the surgical management of hilar cholangiocarcinoma over a time period when liver resection was considered standard management. SUMMARY BACKGROUND DATA Hilar cholangiocarcinoma remains a difficult challenge for surgeons. An advance in surgical treatment is the addition of liver resection to the procedure. However, liver resection in the setting of liver dysfunction caused ...

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A new era of surgical treatment of hilar cholangiocarcinoma: comparison of leading Eastern and Western centers Surgical treatment of hilar cholangiocarcinoma in the ‘‘new era’’: the Nagoya University experience

Objective To review our surgical experience with hilar cholangiocarcinoma in the ‘‘new era.’’ Methods The medical records of 428 patients with hilar cholangiocarcinoma who underwent treatment between 2001 and 2008 at the First Department of Surgery, the Nagoya University Hospital, were retrospectively reviewed. Results Of the 428 patients, 298 (70%) underwent surgical resection (R0, n = 220; R1...

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Non-surgical Therapy for Unresectable Hilar Cholangiocarcinoma

Hilar cholangiocarcinoma (HCCA) is characterised by late clinical symptoms. As a consequence, most patients will not undergo surgery, and palliation is the main goal of therapy. For the few patients that undergo potentially curative surgery, the need for preoperative biliary drainage (PBD) continues to be debated and remains controversial, as there are many reports with conflicting results. For...

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Analysis of the surgical outcome and prognostic factors for hilar cholangiocarcinoma: a Chinese experience.

PURPOSES Hilar cholangiocarcinoma (HC) is the most common location for bile duct cancer. It represents a significant technical challenge for surgical operation due to the close proximity to major vascular structures and to the liver and arborization of the right and left biliary tree. The objective of this study was to assess the therapeutic strategies and prognostic factors that could influenc...

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[Hilar cholangiocarcinoma].

Cancer of the biliary tree, including those occurring at the major biliary bifurcation (Klatskin's tumor), is an uncommon malignancy. Meaningful experience with these tumors has been limited to a few centers. Recent reports with increasing numbers of patients have allowed the construction of rational approaches to these patients. It is clear from these reports that complete resection with negat...

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ژورنال

عنوان ژورنال: HPB

سال: 2005

ISSN: 1365-182X

DOI: 10.1080/13651820500373010