Individualization of treatment for hilar bile duct cancers.
Two cases of hilar bile duct cancer are presented, 1 treated with the preferred technique of left intrahepatic anastomosis, the other with tube drainage. The many factors to be considered before choosing the most appropriate procedure are stressed. A critique of several techniques is offered, with a discussion of the nuances in decision making. The surgeon who embarks upon treatment of such tumors should be thoroughly familiar with the wide range of procedures available; better selection should improve palliation.
D000368:Aged; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D002404:Catheterization / Q000379:methods; D002758:Cholangiography; D003657:Decision Making; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D008875:Middle Aged; D010166:Palliative Care