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- W2894801116 abstract "Background: Technical problems of vascular resection (VR) for treatment of hilar cholangiocarcinoma (HC) play an important role in outcome. The aim of this study was the analysis of technical challenges of VR in patients with HC. Patients and methods: Within three years (January 2014 to December 2017), 83 consecutive patients with HC underwent radical surgery with curative intent in Moscow Clinical Scientific Center. Resection and reconstruction of the portal vein and hepatic artery was performed if necessary for a complete removal of the tumour. Different types of portal vein and hepatic artery reconstruction analyzed and outcome assessed. Results: We performed 8 arterials and 21 portal vein reconstruction. Cancer-free margins achieved in 70%. The perioperative morbidity and mortality rates of this cohort were 42% and 13.7% , respectively. Technical challenges of VR and different types of vascular reconstruction that may influence to outcome were described. Conclusions: Radical liver resection combined with vascular reconstruction provides acceptable morbidity and mortality for treatment of HC. Technical challenges of vascular resection should be taken into account as an important factor of surgical outcome." @default.
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- W2894801116 date "2018-09-01" @default.
- W2894801116 modified "2023-10-16" @default.
- W2894801116 title "Vascular resection for hilar cholangiocarcinoma. Analysis of technical challenges" @default.
- W2894801116 doi "https://doi.org/10.1016/j.hpb.2018.06.335" @default.
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