One hundred seven consecutive surgical resections for hilar cholangiocarcinoma of Bismuth types II, III, IV between 2001 and 2008 View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-11-21

AUTHORS

Masaru Miyazaki, Fumio Kimura, Hiroaki Shimizu, Hiroyuki Yoshidome, Masayuki Otuka, Atushi Kato, Hideyuki Yoshitomi, Katsunori Furukawa, Dan Takeuchi, Tsukasa Takayashiki, Kousuke Suda, Shigetugu Takano

ABSTRACT

Many authors at high-volume centers all over the world have reported improved outcomes of hilar cholangiocarcinoma by several aggressive surgical approaches such as extended hepatic resection, combined vascular resection, and hepatopancreaticoduodenectomy in recent years. There has been great progress in the surgical treatment of hilar cholangiocarcinoma with these previous efforts by aggressive hepatobiliary surgeons. In particular, surgical techniques, diagnostic modalities, and perioperative management have been remarkably improved as compared with before. Herein we report the surgical outcome for both hilar cholangiocarcinoma of Bismuth types II, III, and IV and intrahepatic cholangiocarcinoma involving the hepatic duct confluence during the recent 8-year period between 2001 and 2008 at our institution, the Department of General Surgery at Chiba University. From our recent experienced results, it can be concluded that the surgical strategy for hilar cholangiocarcinoma has been improved remarkably, and major surgical hepatectomy can be done with relative safety, and these aggressive surgical approaches, including combined vascular resection, may be warranted for the surgical treatment of hilar cholangiocarcinoma. However, the adoption of new innovative therapeutic approaches might be required for further improvement of surgical outcome of hilar cholangiocarcinoma. More... »

PAGES

470-475

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00534-009-0207-2

DOI

http://dx.doi.org/10.1007/s00534-009-0207-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1027793337

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19936600


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54 great progress
55 hepatectomy
56 hepatic duct confluence
57 hepatic resection
58 hepatobiliary surgeons
59 hepatopancreaticoduodenectomy
60 high-volume centers
61 hilar cholangiocarcinoma
62 improved outcomes
63 improvement
64 innovative therapeutic approaches
65 institutions
66 intrahepatic cholangiocarcinoma
67 management
68 modalities
69 new innovative therapeutic approaches
70 outcomes
71 period
72 perioperative management
73 previous efforts
74 progress
75 recent years
76 relative safety
77 resection
78 results
79 safety
80 strategies
81 surgeons
82 surgery
83 surgical approach
84 surgical hepatectomy
85 surgical outcomes
86 surgical resection
87 surgical strategy
88 surgical technique
89 surgical treatment
90 technique
91 therapeutic approaches
92 treatment
93 type II
94 vascular resection
95 world
96 years
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