We read with interest the article entitled “Salvage hepatectomy for perihilar malignancy
treated initially with biliary self-expanding metallic stents” by Fukami and al
1
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.To read this article in full you will need to make a payment
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References
- Salvage hepatectomy for perihilar malignancy treated initially with biliary self-expanding metallic stents.Surgery. 2013; 153: 627-633
- Oncological superiority of hilar en bloc resection for the treatment of hilar cholangiocarcinoma.Ann Surg Oncol. 2012; 19: 1602-1608
- Benign hilar biliary strictures stented with metallic stents can be resected by using an oncologic approach.Surgery. 2005; 137: 506-510
- Radical surgery in the presence of biliary metallic stents: revising the palliative scenario.J Gastrointest Surg. 2011; 15: 489-495
- Treatment of failed Roux-en-Y hepaticojejunostomy after post-cholecystectomy bile ducts injuries.Surgery. 2013; 153: 95-102
Article info
Publication history
Published online: January 21, 2014
Identification
Copyright
© 2014 Mosby, Inc. Published by Elsevier Inc. All rights reserved.