Diagnostic laparoscopy in hilar cholangiocarcinoma has a low yield since the neoplasm is often unresectable because locally advanced. The accuracy of the procedure is high in the identification of peritoneal and hepatic metastases but its sensibility is low even with ultrasound support, as it does not allow identification of patients with local advanced disease or metastatic lymph nodes. In advanced disease, when the percentage of metastatic disease is high, the methodical use of laparoscopy could be helpful.

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Baby Sleeping

Baby Sleeping

Everything You Need To Know About Baby Sleeping. Your baby is going to be sleeping a lot. During the first few months, your baby will sleep for most of theday. You may not get any real interaction, or reactions other than sleep and crying.

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