We read with interest the article entitled “Salvage hepatectomy for perihilar malignancy treated initially with biliary self-expanding metallic stents” by Fukami and al
1that 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.
- 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.
Surgery. 2013; 153: 627-633
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- 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
Published online: January 21, 2014
© 2014 Mosby, Inc. Published by Elsevier Inc. All rights reserved.