Difficult Decisions in Hepatobiliary and Pancreatic Surgery by J. Michael Millis & Jeffrey B. Matthews

Author:J. Michael Millis & Jeffrey B. Matthews
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Assessment of the Bile Duct Margin and Operative Outcome

To date, there has been no randomized controlled trial or comparative study regarding assessment of the extent of perihilar cholangiocarcinoma. Thus, we collected recent retrospective cohort studies of curative-intent surgery for perihilar cholangiocarcinoma from high-volume centers based on the following inclusion criteria; (1) published within the last 5 years, (2) included over 100 cases, (3) provided the preoperative assessment for ductal spread of the tumor, and (4) provided the R0 rate and 5-year survival rate. Finally, 12 studies comprising 2,343 cases of perihilar cholangiocarcinoma were enrolled in the present review (Table 31.2) [4–6, 10–12, 16, 17, 30–33].Table 31.2Studies with a large cohort reporting the results of curative-intent surgery for perihilar Cholangiocarcinoma

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