Abstract
In our Department 17 patients (nine women and eight men) suffering from Klatskin’s tumors were treated between 1 February 1989 and 1 October 1991. The mean age was 63.8 years, with a range of 37–89 years.
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References
Akwari OE, Kelly KA (1979) Surgical treatment of adenocarcinoma, location: junction of the right, left and common hepatic ducts. Arch Surg 114:22
Alexander F, Rossi RL, O’Brian M, Khettry S, Braasch J, Watkins E Jr (1984) Biliary carcinoma. Am J Surg 147:503
Andersson A, Bergdahl L, van der Linden W (1977) Malignant tumors of extrahepatic bile ducts. Surgery 81:198
Bengmark S, Ekberg H, Evander A, Klofver-Stahl B, Tranberg K (1987) Major liver resection of hilar cholangiocarcinoma. Ann Surg 207:120
Berchtold D, Sulser T, Akovbiantz A (1989) Therapie und Verlauf der malignen extrahepatischen Gallenwegstumoren. Helv Chir Acta 56:183
Bismuth H, Corlette MB (1975) Intrahepatic cholangioenteric anastomosis in carcinoma of the hilus of the liver. Surg Gynecol Obstet 140:170
Bismuth H, Castaing D, Traynor O (1988) Resection or palliation: priority of surgery in the treatment of hilar cancer. World J Surg 12:39
Black K, Hanna LS, Langer B, Jirsch DW, Rider W (1978) Management of carcinoma of the extrehepatic bile ducts. Can J Surg 21:542
Blumgart LH, Kelley CJ (1984) Hepatojejunostomy in benign and malignant high bile duct strictures: approaches to the left hepatic ducts. Br J Surg 71:257
Blumgart LH, Hadjis NS, Benjamin IS, Beazley R (1984) Surgical approaches to cholangiocarcinoma at the confluence of hepatic ducts. Lancet 1:66
Blumgart LH (1987) Surgical approaches to the left hepatic duct. Langenbecks Arch Chir 370:235
Boerma EJ (1983) The surgical treatment of cancer of the hepatic duct confluence: a clinical, anatomical and experimental study and literature survey. In: Veenmann H, Zonen BV (eds) Wageningen, Netherlands, p 252
Bottger T, Perlia P, Weber W, Junginger T (1990) Chirurgische, endoskopische oder radiologisch interventionelle Therapie beim Gallengangscarcinom. Langenbecks Arch Chir 375:39
Cameron J, Broe P, Zuidema G (1982) Proximal bule duct tumors: surgical management with silastic transhepatic biliary stents. Ann Surg 196:412
Chitwood WR, Meyers WC, Heaston DK, Herskovic AM, McLeod ME, Jones RS (1982) Diagnosis and treatment of primary extrahepatic bile duct tumors. Am J Surg 143:99
Coutsoftides T, Macdonald J, Shibata HR (1977) Carcinoma of the pancreas and periampullary region: a forty-one year experience. Ann Surg 186:730
Evander A, Fredlund P, Hoevels J, Ihse I, Bengmark S (1980) Evaluation of aggressive surgery for carcinoma of the extrahepatic bile ducts. Ann Surg 191:23
Fortner G, Kallum BO, Kim DK (1976) Surgical management of carcinoma of the junction of the main hepatic ducts. Ann Surg 184:68
Fortner G, Vitelli E, Maclean J (1989) Proximal extrahepatic bile duct tumors. Arch Surg 124:1275
Hart MJ, White TT (1980) Central hepatic resection and anastomosis for stricture or carcinoma at the hepatic bifurcation. Ann Surg 192:299
Iwasaki Y, Ohtto M, Todoroki T, Okamaru T, Nishimura A, Sato H (1977) Treatment of carcinoma of the biliary system. Surg Gynecol Obstet 144:219
Iwasaki J, Okamuka T, Ozali A (1986) Surgical treatment for carcinoma at the confluence of the major hepatic ducts. Surg Gynecol Obstet 162:457
Kremer B, Henne-Bruns D, Soehendra N, Grimm H, Pieper F (1988) Die bilioduodenale Jejunuminterposition als technische Alternative zur Roux-Y-Rekonstruktion nach Resektion von Hepaticusgabelcarcinomen. Chirurg 59:472
Lai ECS, TUmpkins RK, Roslyn J J, Mann LL (1987) Proximal bile duct cancer. Ann Surg 205:111
Langer JC, Langer B, Taylor BR, Zeldin R, Cummings B (1985) Carcinoma of the extrahepatic bile ducts: results on an aggressive surgical approach. Surgery 98:752
Launois B, Campion JP, Brissot P, Gosselin M (1979) Carcinoma of the hepatic hilus: surgical management and the case for resection. Ann Surg 190:151
Longmire W, McArthur MS, Bastounis EA, Hiatt J (1973) Carcinoma of the extrahepatic biliary tract. Ann Surg 178:333
Lygidakis NJ, van der Heyde MN, Houthoff HJ (1988) Surgical approaches to the management of primary biliary cholangiocarcinoma of the porta hepatis: the decision-making dilemma. Hepatogastroenterology 35:261
Lygidakis NJ, Tytgat GNJ et al. (1988) Hepatobiliary and pancreatic malignancies. Diagnosis, medical and surgical management. Thieme, Stuttgart, p 36
Mizumoto R, Kawarada Y, Suzuki H (1986) Surgical treatment of hilar carcinoma of the bile ducts. Surg Gynecol Obstet 162:153
Ouchi K, Matsuno S, Sato T (1989) Long-term survival in carcinoma of the biliary tract. Arch Surg 124:248
Paquet KJ, Koussouris P (1987) Ist die intrahepatische Cholangio-Jejunostomie bei im Leberhilus lokalisiertem malignem Verschlußikterus eine bessere Alternative zur endoskopisch-tran-shepatischen Drainage? Chirurg 58:663
Pichelmayr R, Ringe B, Lauchart W, Bechstein W, Gubernatis F, 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
Pinson W, Rossi L (1988) Extended right hepatic lobectomy, left hepatic lobectomy and skeletonization resection for proximal bile duct cancer. World J Surg 12:52
Rossi RL, Heiss F, Beckmann CF, Braasch JW (1989) Management of cancer of the bile duct. Surg Clin North Am 65:59
Skoog V, Thoren L (1982) Carcinoma of the junction of the main hepatic ducts. Acta Chir Scand 148:411
Smith R (1981) Carcinoma of the gallbladder and common hepatic duct. In: Smith R, Sherlock S (eds) Surgery of the gallbladder and bile ducts, 2nd edn. Butterworth, Sevenoaks, p 419
Strong RW (1987) Surgical resection for cholangiocarcinoma involving the confluence of the major hepatic ducts. Aust NZJ Surg 57:911
Tompkins RK, Thomas D, Wile A, Longmire WP (1981) Prognostic factors in bile duct carcinoma: analysis of 96 cases. Ann Surg 194:447
Tsuzuki T, Ogata Y, Iida S, Nakanishi I, Takenaka Y, Yoshii H (1983) Carcinoma of the bifurcation of the hepatic ducts. Arch Surg 118:1147
Warren KW, Jefferson MF (1973) Carcinoma of the exocrine pancreas. In: Carey IC (ed) The pancreas. Mosby, St. Louis, p 243
White TT (1988) Skeletonisation resection and central resection in the treatment of bile duct cancer. World J Surg 12:48
Wolff H, Ridwelski K, Lorf T (1990) Die chirurgische Behandlung maligner Tumoren der Hepaticusgabel. Zentralbl Chir 115:1
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© 1993 Springer-Verlag Berlin Heidelberg
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Arens, S., Riemenschneider, T., Worbes, J., Hirner, A. (1993). 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_23
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DOI: https://doi.org/10.1007/978-3-642-77834-6_23
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