Surgery Today

, Volume 41, Issue 7, pp 896–902

Surgical outcomes of intrahepatic cholangiocarcinoma

  • Masakazu Yamamoto
  • Shun-ichi Ariizumi
Review Article

Abstract

Intrahepatic cholangiocarcinoma (ICC) is considered to be a fatal disease because of frequent recurrence despite curative surgery. The macroscopic classification of ICC in the General Rules for the Clinical and Pathological Study of Primary Liver Cancer of the Liver Cancer Study Group of Japan reflects tumor-spreading patterns; therefore, the clinicopathological findings and surgical outcomes can be predicted using this classification. Lymph node and intrahepatic metastases, and a curative resection are important prognostic factors in ICC; however, lymph node dissection is still controversial. In particular, the intraductal growth type and periductal infiltrating type of ICC without hilar invasion have favorable surgical outcomes, whereas the mass-forming type and periductal infiltrating type of ICC with hilar invasion have high hepatic recurrence and local recurrence, respectively. Multimodal treatments are therefore needed to improve the surgical outcomes of ICC.

Key words

Intrahepatic cholangiocarcinoma Surgical treatment Macroscopic classification Prognostic factors Multimodal treatment 

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Copyright information

© Springer 2011

Authors and Affiliations

  • Masakazu Yamamoto
    • 1
  • Shun-ichi Ariizumi
    • 1
  1. 1.Department of Surgery, Institute of GastroenterologyTokyo Women’s Medical UniversityTokyoJapan

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