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KMID : 0870420070110010007
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2007 Volume.11 No. 1 p.7 ~ p.14
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Current Updates in the Surgical Management of Hilar Cholangiocarcinoma
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Choi Sae-Byeol
Kim Kyung-Sik
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Abstract
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Cholangiocarcinomas originate from the bile duct mucosa and can occur at any level of the biliary tract. Approximately 40 to 60% of cases are found at the hilar level.-Currently, a curative surgical resection is the only treatment method. The surgical treatments of a hilar cholangiocarcinoma are challenging but the diagnostic accuracy has improved with the better preoperative imaging and noninvasive diagnostic techniques. Using the percutaneous transhepatic choledochoscope,-direct visualization of the extent and possible invasion of the tumor is possible, which provides information for determining the extent of the resection. During an endoscopic examination, it is also possible to-pathologically confirm a carcinoma and drain biliary system to relieve an obstruction. Portal vein embolization to increase the volume of the future remaining liver has been attempted in steps of
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KEYWORD
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Hilar cholangiocarcinoma, Curative resection, Prognosis
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