Management of hilar cholangiocarcinoma in the North of England: Pathology, treatment, and outcome

Table 1 Bismuth classification

Bismuth classification	All patients	Resected	Not resected
1	5	0	5
2	14	4	10
3a	12	6	6
3b	13	4	9
4	24	4	20
Not recorded	6	0	6

Table 2 Surgical procedures

Procedure	n
Extend right hemihepatectomy and excision of extrahepatic biliary tree	7
Right hemihepatectomy and excision of extrahepatic biliary tree	4
Left hemihepatectomy and excision of extrahepatic biliary tree	6
Segment 4 resection and excision of extrahepatic biliary tree	1
Roux-en-Y segment 2,3,5 bypass	1
Roux-en-Y hepaticojejunostomy and U-tube insertion	1
U-tube insertion	1
Choledochojejunostomy	3
Laparoscopy and lateral segmentectomy (due to hemorrhage)	1
Open/close	2

Table 3 Complications of resection

Complication	n
Death	3 (17%)
Sepsis	9 (50%)
Bile leak	6 (33%)
Collection	6 (33%)
Chest infection	5 (28%)
Liver failure	5 (28%)
Wound infection	4 (22%)
Bleeding	3 (17%)
ARDS	1 (6%)
Hepatic artery thrombosis	1 (6%)
GI obstruction	1 (6%)
Pleural effusion	1 (6%)
Renal failure	1 (6%)
Respiratory arrest	1 (6%)
Wound dehiscence	1 (6%)

Table 4 Pathological breakdown for resected cases

TNM classification	n
T1 N0	0
T1 N1	1
T2 N0	7
T2 N1	3
T3 N0	3
T3 N1	2
T3 N2	1
T4 N1	1