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Surgical Treatment of Klatskin’s Tumors

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Lebertumoren und portale Hypertension
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Abstract

In 1965 Klatskin drew attention to the unusual clinical and pathological features of adenocarcinomas that arise in the hepatic duct at its bifurcation within the porta hepatis. At this time, “Klatskin’s tumors” were regarded as a relatively rare lesion, but with the advancement of modern medical technology they are now more frequently diagnosed. Malignancies at the hepatic bifurcation can be broadly divided into two types of lesions. First, there are true extrahepatic bile duct cancers (Klatskin’s tumors) and, secondly, those malignancies which involve the hepatic bifurcation (e.g., hepatocellular carcinoma, metastatic spread, carcinoma of the gallbladder).

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References

  • Bismuth H, Corlette MB (1975) Intrahepatic cholangioenteric anastomosis in carcinoma of thehilus of the liver. Surg Gynecol Obstet 140:170–177

    PubMed  CAS  Google Scholar 

  • Blumgart LH, Benjamin IS, Hadjis NS, Beazley RM (1984) Surgical approaches to cholangiocarcinoma at confluence of hepatic ducts. Lancet 1:66–70

    Article  PubMed  CAS  Google Scholar 

  • Cameron JL, Broe P, Zuidema GD (1982) Proximal bile duct tumors. Surgical management with silastic transhepatic stents. Ann Surg 196:412–419

    Article  PubMed  CAS  Google Scholar 

  • Deviere J, Cremer M (1988) Traitement palliatif nonchirurgical des cancers des voies biliaires extrahepatiques. Un regard “endoscopique”. In: Launois B, Cubertafond B (eds) Les cancers des voies biliaires extrahepatiques. Masson, Paris, pp 125–138

    Google Scholar 

  • Hatfield ARW, Tobias R, Terblanche J, Girdwood AH, Fataar S, Harries-Jones R, Kernoff L, Marks IM (1982) Preoperative external biliary drainage in obstructive jaundice. Lancet 2:896–899

    Article  PubMed  CAS  Google Scholar 

  • Klatskin G (1965) Adenocarcinoma of the common bile duct: report of a case of successful resection. Am J Med 38:241–256

    Article  PubMed  CAS  Google Scholar 

  • Launois B, Jamieson GG (1991) Pylorus-preserving “cluster” operation. Br J Surg 78:1015

    Article  PubMed  CAS  Google Scholar 

  • Launois B, Jamieson GG (1992) The posterior intrahepatic approach for hepatectomy or removal of segments of the liver. Surg Gynecol Obstet (in press)

    Google Scholar 

  • Launois B, Campion JP, Brissot F, Gosselin M (1979) Carcinoma of the hepatic hilus: surgical management and the case for resection. Ann Surg 190:151–157

    Article  PubMed  CAS  Google Scholar 

  • Launois B, Jamieson GG, Landen S, Campion JP, Coeurdacier P, Maddern G, Bardaxoglou E (1992) Venous allografts: a useful alternative to venous autografts in digestive surgery. Surg Gynecol Obstet (in press)

    Google Scholar 

  • Lewis WD, Cady B, Rohrer RJ, Jenkins RL, Benotti PM, McDermott WJ (1987) Avoidance of transhepatic drainage prior to hepatico-jejunostomy for obstruction of the biliary tract. Surg Gynecol Obstet 165:381–386

    PubMed  CAS  Google Scholar 

  • Lygidakis NJ, Van der Heyde MM, Van Dongem RJAM, Krommout JG, Tytgat GMJ, Huitbretse K (1988) Surgical approaches for unresectable primary carcinoma of the hepatic hilus. Surg Gynecol Obstet 166:107–114

    PubMed  CAS  Google Scholar 

  • McPherson GAD, Benjamin IS, Habib NA, Bowley NB, Blumgart LH (1982) Percutaneous transhepatic drainage in obstructive jaundice: advantages and problems. Br J Surg 69:261–264

    Article  PubMed  CAS  Google Scholar 

  • Mitzumoto R, Kawarada Y, Suzuki H (1986) Surgical treatment of hilar carcinoma of the bile duct. Surg Gynecol Obstet 162:153–158

    Google Scholar 

  • Nakayama T, Ikeda A, Okuda K (1978) Percutaneous transhepatic drainage of the biliary tracttechnique and results in 104 cases. Gastroenterology 74:554–559

    PubMed  CAS  Google Scholar 

  • Pichlmayr R, Ringe B, Lauchart W, Bechstein WO, Cubernatis G, Wagner E (1988) Radical resection and liver grafting as the two main components of surgical strategy in the treatment of proximal bile duct cancer. World J Surg 12:68–77

    Article  PubMed  CAS  Google Scholar 

  • Pitt HA, Gomes AS, Lois JF, Mann LL, Deutsch LS, Longmire WP Jr (1985) Does preoperative percutaneous transhepatic biliary drainage reduce operative risk or increase hospital cost. Ann Surg 201:545–553

    Article  PubMed  CAS  Google Scholar 

  • Reding R, Buard JL, Lebeau G, Launois B (1991) Surgical management of 552 carcinomas of hepatic bile ducts (gallbladder and periampullary tumors excluded). Results of the French Surgical Association. Ann Surg 213:236–241

    Article  PubMed  CAS  Google Scholar 

  • Starzl TE, Todo S, Tzakis A, Podesta L, Mieles L, Demetris A, Teperman L, Selby R, Stevenson W, Stieber A, Gordon R, Iwatsuki S (1989) Abdominal organ cluster transplantation for the treatment of upper abdominal malignancies. Ann Surg 210:374–386

    Article  PubMed  CAS  Google Scholar 

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© 1993 Springer-Verlag Berlin Heidelberg

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Launois, B., Maddern, G. (1993). Surgical Treatment of Klatskin’s Tumors. In: Reiser, M., Steudel, A., Hirner, A., Kania, U. (eds) Lebertumoren und portale Hypertension. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77834-6_24

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  • DOI: https://doi.org/10.1007/978-3-642-77834-6_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77835-3

  • Online ISBN: 978-3-642-77834-6

  • eBook Packages: Springer Book Archive

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