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©2005 Baishideng Publishing Group Inc.
World J Gastroenterol. Dec 28, 2005; 11(48): 7625-7630
Published online Dec 28, 2005. doi: 10.3748/wjg.v11.i48.7625
Published online Dec 28, 2005. doi: 10.3748/wjg.v11.i48.7625
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 |
- Citation: Mansfield S, Barakat O, Charnley R, Jaques B, O’Suilleabhain C, Atherton P, Manas D. Management of hilar cholangiocarcinoma in the North of England: Pathology, treatment, and outcome. World J Gastroenterol 2005; 11(48): 7625-7630
- URL: https://www.wjgnet.com/1007-9327/full/v11/i48/7625.htm
- DOI: https://dx.doi.org/10.3748/wjg.v11.i48.7625