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Preoperative biliary drainage in hiliar cholangiocarcinoma

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https://www.readbyqxmd.com/read/26298684/klatskin-tumor-diagnosis-preoperative-evaluation-and-surgical-considerations
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Víctor Molina, Jaime Sampson, Joana Ferrer, Santiago Sanchez-Cabus, David Calatayud, Mihai Calin Pavel, Constantino Fondevila, Jose Fuster, Juan Carlos García-Valdecasas
Hiliar cholangiocarcinoma is the most common type of cholangiocarcinoma, an represent around 10% of all hepatobiliary tumors. It is an aggressive malignancy, resectable in around 47% of the patients at diagnosis. Complete resection is the most effective and only potentially curative therapy, with a survival rate of less than 12 months in unresectable cases. Axial computerized tomography and magnetic resonance are the most useful image techniques to determine the surgical resectability. Clinically, jaundice and pruritus are the most common symptoms at diagnosis;preoperative biliary drainage is recommended using endoscopic retrograde cholangiography or percutaneous transhepatic cholangiography...
November 2015: Cirugía Española
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