Individualized surgical approach based on Bismuth-Corlette classification for perihilar cholangiocarcinoma

Autor: I-Chin Lee, Björn-Ole Stüben, Mohammad Fard-Aghaie, Anastasios Giannou, Tarik Ghadban, Asmus Heumann, Jun Li
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Clinical Surgical Oncology, Vol 3, Iss 3, Pp 100057- (2024)
Druh dokumentu: article
ISSN: 2773-160X
DOI: 10.1016/j.cson.2024.100057
Popis: Perihilar cholangiocarcinoma, a formidable adversary in the field of hepatobiliary surgery, presents multifaceted challenges. This paper reviews its historical context, classification criteria, and regional variations in definition. It emphasizes the critical role of preoperative assessment, including hepatic hilum anatomy, biliary infiltration characteristics, and residual liver volume evaluation. The impact of the Bismuth-Corlette classification on surgical approach selection is elucidated, providing insights into tailored surgical options for each subtype based on the authors’ center experience in the last ten years. The article also touches upon laparoscopic and robotic surgery potential, underscoring the need for further research in this domain. Finally, it explores the potential role of liver transplantation as a treatment option for select patients ineligible for conventional surgery.
Databáze: Directory of Open Access Journals