The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Trifanov V.S.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Kopylov V.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Grishin N.A.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Chernichenko M.A.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Moshurov R.I.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Mescheryakova M.Yu.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Kosogolov M.V.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Parenchyma-preserving surgical treatment option for a patient with Klatskin tumor with atypical anatomy of hilus structures

Authors:

Trifanov V.S., Kopylov V.V., Grishin N.A., Chernichenko M.A., Moshurov R.I., Mescheryakova M.Yu., Kosogolov M.V.

More about the authors

Journal: P.A. Herzen Journal of Oncology. 2025;14(4): 75‑81

Read: 238 times


To cite this article:

Trifanov VS, Kopylov VV, Grishin NA, Chernichenko MA, Moshurov RI, Mescheryakova MYu, Kosogolov MV. Parenchyma-preserving surgical treatment option for a patient with Klatskin tumor with atypical anatomy of hilus structures. P.A. Herzen Journal of Oncology. 2025;14(4):75‑81. (In Russ.)
https://doi.org/10.17116/onkolog20251404175

Recommended articles:

References:

  1. Klatskin G. Adenocarcinoma of the hepatic duct at its bifurcation within the porta hepatis. An unusual tumor with distinctive clinical and pathological features. Am J Med. 1965;38(2):241-256.  https://doi.org/10.1016/0002-9343(65)90178-6
  2. Fortner JG, Kallum BO, Kirn DK. Surgical management of carcinoma of the junction of the main hepatic ducts. Ann. Surg. 1976; 184:68-73. 
  3. De Bellis M, Mastrosimini MG, Conci S, Pecori S, Campagnaro T, Castelli C, Capelli P, Scarpa A, Guglielmi A, Ruzzenente A. The prognostic role of true radical resection in perihilar cholangiocarcinoma after improved evaluation of radial margin status. Cancers (Basel). 2022;14(24):6126. https://doi.org/10.3390/cancers14246126
  4. Kaprin AD, Starinskii VV, Shakhzadova AO, eds. Malignant neoplasms in Russia in 2020 (morbidity and mortality). Moscow: MNIOI im. P.A Gertsena — filial FGBU «NMITs radiologii» Minzdrava Rossii; 2021. (In Russ.).
  5. Nagino M, Ebata T, Yokoyama Y, Igami T, Sugawara G, Takahashi Y, Nimura Y. Evolution of surgical treatment for perihilar cholangiocarcinoma: a single-center 34-year review of 574 consecutive resections. Ann Surg. 2013;258(1):129-140.  https://doi.org/1097/SLA.0b013e3182708b57
  6. Bismuth H, Corlette MB. Intrahepatic cholangioenteric anastomosis in carcinoma of the hilus of the liver. Surg Gynecol Obset. 1975;140(2):170-178. 
  7. Paul A, Kaiser GM, Molmenti EP, Schroeder T, Vernadakis S, Oezcelik A, Baba HA, Cicinnati VR, Sotiropoulos GC. Klatskin tumors and the accuracy of the Bismuth-Corlette classification. Am Surg. 2011;77(12):1695-1699.
  8. Burke EC, Jarnagin WR, Hochwald SN, Pisters PWT, Fong Y, Blumgart LH. Hilar Cholangiocarcinoma. Patterns of Spread, the Importance of Hepatic Resection for Curative Operation, and a Presurgical Clinical Staging System. Annals of Surgery. 1998; 228(3):385-394. 
  9. Jarnagin WR, Fong Y, DeMatteo RP, Gonen M, Burke EC, Bodniewicz BS J, Youssef BA M, Klimstra D, Blumgart LH. Staging, resectability, and outcome in 225 patients with hilar cholangiocarcinoma. Ann Surg. 2001;234(4):507-517, discussion 517-519.  https://doi.org/10.1097/00000658-200110000-00010
  10. Luo J. A new clinical classification of hilar cholangiocarcinoma (Klatskin tumor). Open Access J Surgery. 2017;2(4):555594. https://doi.org/10.19080/OAJS.2017.02.555594
  11. Pichlmayr R, Ringe B, Lauchart W, Bechstein WO, Gubernatis G, Wagner E. Radical resection and liver grafting as the two main components of surgical strategy in the treatment of proximal bile duct cancer. World J Surg. 1988;12(1):68-77.  https://doi.org/10.1007/BF01658489
  12. Li B, Li Z, Qiu Z, Qin Y, Gao Q, Ao J, Ma W, Jiang X. Surgical treatment of hilar cholangiocarcinoma: retrospective analysis. BJS Open. 2023;7(3):zrad024. https://doi.org/10.1093/bjsopen/zrad024
  13. Hu YF, Hu HJ, Lv TR, He ZQ, Dai YS, Li FY. Should more aggressive surgical resection be considered in the treatment for Bismuth types I and II hilar cholangiocarcinoma? A meta-analysis. Asian J Surg. 2023;46(10):4115-4123. https://doi.org/10.1016/j.asjsur.2022.12.043
  14. Majlesara A, Ghamarnejad O, Khajeh E, Golriz M, Gharabaghi N, Hoffmann K, Chang DH, Büchler MW, Mehrabi A. Portal vein arterialization as a salvage procedure in hepatopancreatobiliary surgery: a systematic review. Can J Surg. 2021;64(2):E173-E182. https://doi.org/10.1503/cjs.012419
  15. Chen RX, Li CH, Luo CH, Zhang H, Zhou T, Wu XF, Wang XH, Li XC. Surgical strategies for the treatment of bismuth type I and II hilar cholangiocarcinoma: bile duct resection with or without hepatectomy? Ann Surg Oncol. 2020;27(9):3374-3382. https://doi.org/10.1245/s10434-020-08453-2
  16. van Keulen AM, Buettner S, Besselink MG, Busch OR, van Gulik TM, IJzermans JNM, de Jonge J, Polak WG, Swijnenburg RJ, Erdmann JI, et al. Primary and secondary liver failure after major liver resection for perihilar cholangiocarcinoma. Surgery. 2021;170(4):1024-1030. https://doi.org/10.1016/j.surg.2021.04.013
  17. Bismuth H. Castaing D. Traynor 0. Resection or palliation: priority of surgery in the treatment of hilar cancer. World J. SLirg. 1988; 12:39-47. 
  18. Igami T, Nishio H, Ebata T, Yokoyama Y, Sugawara G, Nimura Y, Nagino M. Surgical treatment of hilar cholangiocarcinoma in the ‘‘new era’’: the Nagoya University experience. J Hepatobiliary Pancreat Sci. 2010;17(4):449-445.  https://doi.org/10.1007/s00534-009-0209-0

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.