Question: A 78-year-old woman presented with 500 mL hematochezia, hypotension, and a hemoglobin level of 5.4 g/dL. She had a history of right hemilobectomy of the liver and hepatojejunostomy for Klatskin tumor IIIA at other institutions 2 years before. Her medical history also included mitral regurgitation. Emergency esophagogastroduodenoscopy revealed a large, bluish, rugged mass with a smooth...

BACKGROUND We found a high proportion of patients with implantation metastases during follow-up after resection of a proximal cholangiocarcinoma. A remarkable fact was that all these patients had undergone preoperative endoscopic retrograde cholangiopancreatography (ERCP) with placement of a stent. ERCP is frequently used in the assessment of the proximal extension of Klatskin tumors and is usu...

Cholangiocarcinoma is the most common malignant bile duct and the second most common primary malignant tumor in the liver. It can be classified as intrahepatic (peripheral) or extrahepatic. Extrahepatic cholangiocarcinoma originate most often from the main hepatic duct and confluence (referred to as Klatskin tumor). The patients usually present with jaundice because of biliary obstruction. Prog...

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Klatskin tumor is a perihilar cholangiocarcinoma of the lobar and common hepatic ducts (liver port cancer) which localized proximally to confluence cystic (before segmental second order). Currently, photodynamic therapy (PDT) recommended for complex management patients with inoperable extrahepatic because discussed PDT technique significantly increases life expectancy in comparison isolated pal...

Biliopancreatic tumors that are potentially amenable to local resection include proximal bile duct tumors (Klatskin tumors), midcholedochal duct tumors and tumors arising from the papilla of Vater. This paper reviews our experience in the AMC, with local resection of these conditions. From 1983-1997, 112 patients underwent surgical resection of a carcinoma of the hepatic duct sonfluence (Klatsk...

Biliopancreatic tumors that are potentially amenable to local resection include proximal bile duct tumors (Klatskin tumors), mid-choledochal duct tumors and tumors arising from the papilla of Vater. This paper reviews our experience in the AMC, with local resection of these conditions. From 1983-1997, 112 patients underwent surgical resection of a carcinoma of the hepatic duct confluence (Klats...

Percutaneous transhepatic removal techniques for malfunctioning plastic biliary endoprosthesis are considered safe and efficient second-line strategies, when endoscopic procedures are not feasible. We describe the percutaneous transhepatic balloon pulling technique in a patient with an unresectable malignant hilar cholangiocarcinoma.