A new staging system for perihilar cholangiocarcinoma has recently been proposed to standardize the reporting of this intractable disease. However, the system has several flaws; thus, many revisions are needed before a registry can be established that uses this system.
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Modern work-up and extended resection in perihilar cholangiocarcinoma: the AMC experience
Langenbeck's Archives of Surgery Open Access 19 January 2018
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References
DeOliveira, M. L. et al. Proposal for a new staging system and registry for perihilar cholangiocarcinoma. Hepatology doi:10.1002/hep.24227.
International Union Against Cancer (UICC). TNM Classification of Malignant Tumors. 7th edn (eds Sobin, L. H. et al.) (Wiley–Blackwell, Chichester, 2009).
Klatskin, G. Adenocarcinoma of the hepatic duct at its bifurcation within the porta hepatis. An unusual tumor with distinctive clinical and pathological features. Am. J. Med. 38, 241–256 (1965).
Nakeeb, A. et al. Cholangiocarcinoma. A spectrum of intrahepatic, perihilar, and distal tumors. Ann. Surg. 224, 463–473 (1996).
Ebata, T. et al. The concept of perihilar cholangiocarcinoma is valid. Br. J. Surg. 96, 926–934 (2009).
Seyama, Y. et al. Long-term outcome of extended hemihepatectomy for hilar bile duct cancer with no mortality and high survival rate. Ann. Surg. 238, 73–83 (2003).
Bismuth, H. & Corlette, M. B. Intrahepatic cholangioenteric anastomosis in carcinoma of the hilus of the liver. Surg. Gynecol. Obstet. 140, 170–178 (1975).
Bismuth, H., Nakache, R. & Diamond, T. Management strategies in resection for hilar cholangiocarcinoma. Ann. Surg. 215, 31–38 (1992).
Jarnagin, W. R. et al. Staging, respectability, and outcome in 225 patients with hilar cholangiocarcinoma. Ann. Surg. 234, 507–519 (2001).
Nagino, M. et al. Hepatectomy with simultaneous resection of the portal vein and hepatic artery for advanced perihilar cholangiocarcinoma: an audit of 50 consecutive cases. Ann. Surg. 252, 115–123 (2010).
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Nagino, M. A much needed but imperfect new staging system. Nat Rev Gastroenterol Hepatol 8, 252–253 (2011). https://doi.org/10.1038/nrgastro.2011.67
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DOI: https://doi.org/10.1038/nrgastro.2011.67
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