The Hepatic Artery Reconstruction First Approach in Hilar Cholangiocarcinoma Type IIIb

  • E. de Santibañes
  • V. Ardiles
  • F. A. Alvarez


Even though recent advances in liver surgery have led to a more efficient approach to hilar cholangiocarcinoma (HC), resection with curative intent remains a challenge for hepatobiliary surgeons [1]. There is strong evidence to show better survival and long-term outcomes when microscopically tumor-free surgical margins are obtained in these patients [2]. En-bloc resections of liver parenchyma with the extrahepatic bile duct is mandatory to manage tumors with direct hepatic invasion, as well as to accomplish an R0 resection on tumors that frequently extend longitudinally out to involve the hepatic ducts [3–5].


Hepatic Artery Hepatic Duct Extrahepatic Bile Duct Future Liver Remnant Hilar Cholangiocarcinoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



We thank Dr. Axel Beskow for the drawings included in this chapter.


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Copyright information

© Springer Science+Business Media Dordrecht and People's Medical Publishing House 2013

Authors and Affiliations

  • E. de Santibañes
    • 1
  • V. Ardiles
    • 1
  • F. A. Alvarez
    • 1
  1. 1.General Surgery ServiceHospital Italiano de Buenos AiresBuenos AiresArgentina

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