Surgical palliation for unresectable hilar cholangiocarcinoma

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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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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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Optimal Endoscopic Palliation of Advanced Hilar Cholangiocarcinoma with Metal Stents

Endoscopic biliary stenting is a well-established palliative procedure for treating obstructive jaundice in patients with unresectable hilar cholangiocarcinoma. Plastic tube stents (PS) have been widely used for the procedure, but self-expandable metallic stents (SEMSs) are becoming increasingly popular because of the associated longer patency. However, there are several unanswered questions re...

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Surgical palliation of unresectable pancreatic carcinoma.

The decision to perform surgical versus nonoperative palliation for unresectable pancreatic cancer is influenced by a number of factors. In most cases, patient symptoms clearly dictate the management. In patients with symptoms of duodenal obstruction at the time of presentation, surgery is the only option. In patients with obstructive jaundice alone, the options for management must be weighed a...

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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: 10.1080/13651820500372442