One of the most important factors of morbility in hilar cholangiocarcinoma is the presence of jaundice as a consequence of physiopathologic changes following cholestasis, described in Chap. “Preoperative Assessment of Liver Function”. The close association of this complex disease with high operative risk, determined by increased postoperative mortality and morbidity, has led to the belief that preoperative drainage of jaundice would have decreased the risk of a major resection (i.e. pancreaticoduodenectomy or hepatic resection).


Hepatic Resection Biliary Drainage Obstructive Jaundice Hilar Cholangiocarcinoma Percutaneous Transhepatic Biliary Drainage 
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