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Letter to the Editor| Volume 155, ISSUE 5, P958, May 2014

Salvage hepatectomy for hilar cholangiocarcinoma with previous biliary metallic stent is a matter of specialized hepatobiliary centers

Published:January 21, 2014DOI:https://doi.org/10.1016/j.surg.2014.01.001
      We read with interest the article entitled “Salvage hepatectomy for perihilar malignancy treated initially with biliary self-expanding metallic stents” by Fukami and al
      • Fukami Y.
      • Ebata T.
      • Yokoyama Y.
      • Igami T.
      • Sugawara G.
      • Nagino M.
      Salvage hepatectomy for perihilar malignancy treated initially with biliary self-expanding metallic stents.
      that focused on the feasibility of salvage hepatectomy and subsequent potential survival benefits in patients with incorrectly assessed, “inoperable” perihilar cholangiocarcinoma treated initially with a self-expanding metallic stent (SEMS). The authors succeeded in reviewing the challenges of salvage hepatectomies after palliative intent of a SEMS placement, however on risk remains is the long-term patency of a hepticojejunostomy involving an injured biliary epithelium.
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