Surgical resection for hilar cholangiocarcinoma is usually a challenging operation. Correct accomplishment of a R0 resection must be planned with a careful preoperative evaluation that considers longitudinal and radial extent of neoplasms, the presence of lymph-node involvement, vascular infiltration and anatomic variants.
Surgical resection entails exeresis of the biliary tract, associated with hepatic resection and regional lymphadenectomy. Reconstructive phase follows with bilioenteric anastomosis with Roux-en-Y jejunal loop.
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