Avtor/Urednik		Stanisavljevič, Dragan; Mekicar, Jernej
Naslov		Rak ekstrahepatalnih žolčevodov
Prevedeni naslov		Extrahepatic bile duct cancer
Tip		članek
Vir		In: Jelenc F, editor. Zbornik simpozija Kirurgija žolčnika in žolčevodov; 2003 okt; Ljubljana. Ljubljana: Klinični center, Klinični oddelek za abdominalno kirurgijo,
Leto izdaje		2003
Obseg		str. 138-42
Jezik		slo
Abstrakt		Malignant strictures involving the bile ducts remain a major challenge in biliary surgery. It is an uncommon cancer. The etiology is unknown, most cases are sporadic, but several conditions confer an increased risk of developing cholangiocarcinoma. The early symptoms are nonspecific. In the past computed tomography, percutaneous transhepatic cholangiography and angiography were considered standard investigations, but currently magnetic resonance cholangiopancreatography is providing the same information with less risk. Evaluation of patients is principally an assessment of resectability since resection is the only effective therapy. Bismuth-Corlette classification and determinants of resectability are presented. Different kinds of resections are used, according to the type of tumor based on Bismuth Corlette classification. If resection is not possible, intrahepatic biliary-enteric bypass or percutaneous biliary drainage are performed. Currently there is no role for adjuvant radiochemotherapy. Jucidious use of preoperative investigations and improvements in surgical technique has allowed better patient selection and performance of appropriately radical operations with an acceptable mortality.
Deskriptorji		BILE DUCT NEOPLASMS BILE DUCTS, EXTRAHEPATIC KLATSKIN'S TUMOR NEOPLASM STAGING