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History of Surgery in Hilar Cholangiocarcinoma

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Hilar Cholangiocarcinoma

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Abstract

In 1965, Dr. Gerald Klatskin reported in the American Journal of Medicine an article “Adenocarcinoma of the Hepatic Duct at Its Bifurcation Within the Porta Hepatis” [1]. The purpose of this report by Dr. Klatskin on 13 patients was “to draw attention to the unusual features of adenocarcinomas that arise in the hepatic duct at its bifurcation within the porta hepatis”. Thereafter, this tumor is named after him as Klatskin tumor. Actually, tumors of this type have been reported before him [2–7], but the distinctive manifestations of this tumor have not received sufficient emphasis. Dr. Klatskin stated in his paper that “tumors of this type are frequently overlooked during laparotomy …, death in this disease is usually attributable to hepatocellular failure and/or hepatobiliary infection secondary to unrelieved biliary obstruction rather than to massive invasion of the liver by tumor or to extrahepatic metastases, palliative surgery aimed at relieving biliary obstruction may restore the patient to a good state of health for a remarkable long period of time, and such palliation may be achieved by internal drainage of only one of the major intrahepatic bile ducts”. Some of these observations are still true even today on these tumors which for one reason or another cannot be resected!

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Authors and Affiliations

  1. Department of Surgery, Queen Elizabeth Hospital, Kowloon, Hong Kong

    S. H. Y. Lau MBChB(CUHK), MRCS(Ed)

  2. Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong

    W. Y. Lau MD(CUHK), DSc(CUHK), FRCS, FACS, FRACS(Hon)

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Correspondence to W. Y. Lau MD(CUHK), DSc(CUHK), FRCS, FACS, FRACS(Hon) .

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    W.Y. Lau

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Lau, S.H.Y., Lau, W.Y. (2013). History of Surgery in Hilar Cholangiocarcinoma. In: Lau, W. (eds) Hilar Cholangiocarcinoma. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6473-6_17

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  • DOI: https://doi.org/10.1007/978-94-007-6473-6_17

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-6472-9

  • Online ISBN: 978-94-007-6473-6

  • eBook Packages: MedicineMedicine (R0)

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