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HPB Surgery
Volume 5 (1992), Issue 4, Pages 235-249

Is Aggressive Surgical Palliation of Proximal Bile Duct Cancer With Involvement of Both Main Hepatic Ducts Worthwhile?

1Dept. of Surgery, University of Munich, Germany
2Dept. of Radiology and Radiotherapy, University of Munich, Germany
3Dept. of Surgery, University of Hansing, Germany
4Chururgische Klinik, Universitat Hamburg, Martiuistr. 52, Hamburg 20 D-2000, Germany
5der Universität München, Nuβbaumstr. 20, München 2 D-8000, Germany

Received 8 January 1991; Accepted 28 October 1991

Copyright © 1992 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The only curative treatment for proximal bile duct cancer with involvement of both main hepatic ducts is liver transplantation. Most patients do not fulfill the requirements for liver transplantation. Our treatment strategy in appropriate cases is palliative tumor resection and reconstruction of the biliary passage by sutureless bilioenteric anastomosis. We have treated 12 patients, 5 in combination with intraluminal and percutaneous radiotherapy. Our results indicate that this strategy leads to effective palliation in some cases provided that only microscopic residual tumor is left in-situ. Our survival times compare favourably with survival after liver transplantation.