Klatskin tumors and other cholangiocarcinoma - Lieberman's ...

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Radiologic Assessment of Surgical Resectability: Criteria for Resectability Radiologic assessment begins with a pre-operative CT Limited sensitivity; can establish resectability in only 60% of cases Tumors are NOT resectable if: Retropancreatic <strong>and</strong> paraceliac nodal metastases Liver metastases Invasion of portal vein, main hepatic artery, or proximal branches Extrahepatic organ invasion Disseminated disease 22
Criteria for Resectability of Hilar Tumors Hilar <strong>tumors</strong> are NOT resectable if: Bilateral hepatic duct involvement up to second radicles bilaterally (Bismuth IV) Encasement/occlusion of main portal vein proximal to its bifurcation Atrophy of one liver lobe with encasement of contralateral portal vein branch Atrophy of one liver lobe with contralateral secondary biliary radicle involvement Involvement of bilateral hepatic arteries 23 23
Page 1 and 2: Klatskin tumors and other cholangio
Page 3 and 4: Index Patient: KR 53M presented to
Page 5 and 6: Patient KR: Conjugated Hyperbilirub
Page 7 and 8: Review of Biliary Anatomy Plate 260
Page 9 and 10: Patient KR: Biliary Dilatation on R
Page 11 and 12: Patient KR: Hilar Stricture on ERCP
Page 13 and 14: Patient KR: Bile Duct Dilatation an
Page 15 and 16: Cholangiocarcinoma: Pathogenesis an
Page 17 and 18: Common Clinical Manifestations Sym
Page 19 and 20: Bismuth-Corlette Classification Hi
Page 21: Surgical resection is the only cura
Page 25 and 26: Example of Unresectable Tumor: Celi
Page 27 and 28: Discussion of Companion Patients 27
Page 29 and 30: Patient 2: Hyper-enhancement on Del
Page 31 and 32: Patient 2: Gallbladder Wall Invasio
Page 33 and 34: Patient 3: Liver Metastasis on HAST
Page 35 and 36: Summary (1) Cholangiocarcinoma can
Page 37 and 38: References Anderson C and stuart K

Klatskin tumors and other cholangiocarcinoma - Lieberman's ...

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