Tumor de la confluencia hiliar hepática (Klatskin). Rodrigo Castaño Llano, MD (1 ). (1) Cirugía Gastrointestinal y Endoscopia. Profesor Grupo de. RELATO DE CASO. Derivação biliodigestiva no tratamento do tumor de Klatskin. Intestinal biliary bypass in Klatskin’s tumor treatment. Daniele Gehlen Klaus. 25 Nov Title: Tumor de Klatskin (Klatskin Tumor Anatomy). Description: Tumor de Klatskin; el dibujo muestra cáncer en el conducto hepático común.

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Tumor de Klatskin

A case of our own observation]”. World Journal of Gastroenterology ; 12 The importance of this differentiation lies in the variations in survival depending on the subtype in question. Nevertheless, the restrictions of this classification are that it merely describes tumour characteristics and the surgery to be performed, without going on to divide patients into groups or stages according to these variables. Subscribe to our Newsletter.

Klatskin tumours Klatskin tumor Klatskin tumor’s Klatskin’s tumor Klatskin’s tumour Klatskin’s tumours Klatskin’s tumors Hilar cholangiocarcinoma Hilar cholangiocarcinomas.

Klatskin tumor

Colonic metastasis of Klatskin tumor: Axial computerised tomography and magnetic resonance are the most useful image techniques to determine the surgical resectability. Major hepatectomies are safe in patients with cholangiocarcinoma and jaundice. Transplant Proc ; Hepatocellular adenoma Cavernous hemangioma hyperplasia: However, patients that are candidates for resectability are few and moreover many of these patients will have a relapse despite apparent removal of the tumor.


These results support the use of surgery for these tumours, if in spite of local extension it is possible to perform a R0 resection, given that it is possible to increase survival to 5 years regardless of local extension. This has a lower incidence of infections than CPRE and makes it possible, in those patients with unilateral drainage who do not normalise their bilirubin levels, to use bilateral biliary drainage.

Bismuth H, Corlette MB. The disease was named after Gerald Klatskin, who in described 15 cases and found some characteristics for this type of cholangiocarcinoma [1] [2] [3]. In the study published by Ebata et al. Endoscopic retrograde cholangiopancreatography and endoscopic endoprosthesis insertion in patients with Klatskin tumors. J Hepatobiliary Pancreat Surg, 21pp. Due to all of the above considerations klatsiin is recommended that each case be evaluated individually, and that surgery be used if an R0 resection can be achieved in the absence of distant metastasis or peritoneal involvement.

European Journal of Surgical Oncology. From Wikipedia, the free encyclopedia. Langenbecks Arch Surg,pp.

Klatskin tumor – Wikipedia

Renal cell carcinoma Endometrioid tumor Renal oncocytoma. Preoperative transcatheter embolization of the portal venous branch for patients receiving extended lobectomy due to the bile duct carcinoma. Dig Dis Sci ; Plastic versus self-expanding metallic stents for malignant hilar biliary obstruction: Preoperative portal embolisation was described in the s, initially by Makuuchi et al.

Scandinavian Journal of Gastroenterology. Koatskin you for updating your details.

Hepatobiliary and Pancreatic Diseases International ; 4 1: Not considering Bismuth IV to be T4. Support Radiopaedia and see fewer ads. Preoperative biliary MRSA infection in patients undergoing hepatobiliary resection with cholangiojejunostomy: World Journal of Gastroenterology.


They are klaskin useful for preoperative biliary drainage and in the palliative treatment of PHC, with the insertion of preferentially metal-coated stents. Preoperative biliary drainage in hilar cholangiocarcinoma: November Pages ee Pages The criteria adopted for surgical resection have expanded over recent years, from those described initially by the team of the Memorial Sloan Kettering Cancer Center by Burke et al.

Risk of hepatobiliary and pancreatic cancers after hepatitis C virus infection: The serum CA in particular may be very high. Cir Esp, 86pp. Localmente solo se tiene experiencia con el cepillado de lesiones distales 24 figura 7.

With respect to the stages, it prioritises lymph node involvement as the worst prognosis. Romanian Journal of Internal Medicine.

Klatskin tumour | Radiology Reference Article |

Previous publications show that the preoperative classification used the most widely now to decide on the type of resection is Bismuth-Corlette, while the TNM 7 classification is used to define the long-term prognosis.

This item dde received. We always perform staging laparoscopy using intraoperative ultrasound scan to improve sensitivity to locorregional and lymph node involvement. R0 resection, lymph node involvement and distant metastasis are still the most important prognostic factors. Ilatskin fluke-associated and sporadic cholangiocarcinoma: AJCC cancer staging handbook, 7th ed.