Laparoscopy in the management of hilar cholangiocarcinoma

The use of minimally invasive surgery has become widely accepted in many gastrointestinal fields,even in patients with malignancy.However,performing laparoscopic resection for the treatment of hilar cholangiocarcinoma is still not universally accepted as an alternative approach to open surgery,and o...

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Veröffentlicht in:World journal of gastroenterology : WJG 2014-11, Vol.20 (41), p.15153-15157
Hauptverfasser: Cho, Akihiro, Yamamoto, Hiroshi, Kainuma, Osamu, Muto, Yorihiko, Yanagibashi, Hiroo, Tonooka, Toru, Masuda, Takahito
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container_end_page 15157
container_issue 41
container_start_page 15153
container_title World journal of gastroenterology : WJG
container_volume 20
creator Cho, Akihiro
Yamamoto, Hiroshi
Kainuma, Osamu
Muto, Yorihiko
Yanagibashi, Hiroo
Tonooka, Toru
Masuda, Takahito
description The use of minimally invasive surgery has become widely accepted in many gastrointestinal fields,even in patients with malignancy.However,performing laparoscopic resection for the treatment of hilar cholangiocarcinoma is still not universally accepted as an alternative approach to open surgery,and only a limited number of such procedures have been reporteddue to the difficulty of performing oncologic resection and the lack of consensus regarding the adequacy of this approach.Laparoscopy was initially limited to staging,biopsy and palliation.Recent technological developments and improvements in endoscopic procedures have greatly expanded the applications of laparoscopic liver resection and lymphadenectomy,and some reports have described the use of laparoscopic or robot-assisted laparoscopic resection for hilar cholangiocarcinoma as being feasible and safe in highly selected cases,with the ability to obtain an adequate surgical margin.However,the benefits of major laparoscopic surgery have yet to be conclusively proven,and carefully selecting patients is essential for successfully performing this procedure.
doi_str_mv 10.3748/wjg.v20.i41.15153
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source MEDLINE; Baishideng "World Journal of" online journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection
subjects Bile Duct Neoplasms - pathology
Bile Duct Neoplasms - surgery
Bile Ducts, Intrahepatic - pathology
Bile Ducts, Intrahepatic - surgery
cholangiocarcinoma
Cholangiocarcinoma - pathology
Cholangiocarcinoma - surgery
Hepatectomy - adverse effects
Hepatectomy - methods
Hilar
Humans
inv
Laparoscopy
Laparoscopy - adverse effects
Laparoscopy - methods
Lymph Node Excision - adverse effects
Lymph Node Excision - methods
Minimally
Palliative Care
Patient Selection
Risk Assessment
Risk Factors
Robotic Surgical Procedures - adverse effects
Robotic Surgical Procedures - methods
Topic Highlight
Treatment Outcome
title Laparoscopy in the management of hilar cholangiocarcinoma
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