Proximal biliary malignancy.

  title={Proximal biliary malignancy.},
  author={Mohamed Elhassan Akoad and Roger Lewin Jenkins},
  journal={The Surgical clinics of North America},
  volume={88 6},
  pages={1409-28, x-xi}
Hilar cholangiocarcinoma is a rare malignancy that occurs at the bifurcation of the bile ducts. Complete surgical excision with negative histologic margins remains the only hope for cure or long-term survival. Because of its location and proximity to the vascular inflow of the liver, surgical resection is technically difficult and may require advanced vascular reconstructions to achieve complete excision. Patients who are not candidates for resection should undergo palliative biliary drainage… CONTINUE READING
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