WebNov 8, 2024 · In Bismuth IIIa or IIIb HC, the operation type is determined according to the side of the tumor. Changing the surgical plan during operation is difficult. Therefore, … Web4 Bismuth type I tumors are defined as lesions located below the confluence of the right and left hepatic ducts, and can be treated through extrahepatic bile duct resection. In …
Management of Perihilar Cholangiocarcinoma - Medscape
WebJan 1, 2024 · Bismuth type IV tumors involve either the confluence of the hepatic ducts and the right and left hepatic duct, or are multicentric. Epidemiology Over the last decades, the incidence of intrahepatic cholangiocarcinoma increased … WebAll patients had a diagnosis of unresectable hilar cholangiocarcinoma (Bismuth classification type II, n = 3; type IIIa, n = 2; type IIIb, n = 2; type IV, n = 4) and had undergone insertion of bilateral uncovered metal stents with the stent-in-stent method (8/10 mm in diameter, 6/8/10 mm in length, Niti-S LCD biliary stent; Taewoong Medical ... birthdays card shop online uk
Alkoxylation of active hydrogen-containing compounds
WebOct 21, 2016 · In 32 out of 39 patients of type IIIb, left branch was involved and in two cases right branch was involved without left branch invasion. In type IV, invasion of main portal vein or it’s right or left branch, or all three were seen in 24 patients. Two patients of type I and only four patients of type II showed portal venous invasion. WebOct 21, 2024 · As Bismuth type IIIB often requires a major left hepatic resection and invasion of the right HA usually contraindicates the procedure, they proposed performing a HA reconstruction between the posterior branch of the right HA and the left HA as the first surgical step, before transection of the parenchyma and the hilar resection. ... WebThe tumor site were classified according to Bismuth-Corlette's classification: 9 lesions (18%) were Bismuth type I, 23 lesions (46%) type II, 12 lesions (24%) Type IIIa, 5 lesions (10%) type IIIb and only 1 resected tumor (2%) was type IV. Thirty-six patients (72%) were considered suitable for surgery, while 14 underwent non surgical palliative ... birthday scarecrow