Preoperative biliary drainage of perihilar cholangiocarcinoma: Oncological and technical issues. What does the surgeon expect from the drainage of a perihilar cholangiocarcinoma? (notice n° 1573136)
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|---|---|
| fixed length control field | 02065cam a2200241 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20251214025844.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Garnier, Jonathan |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Preoperative biliary drainage of perihilar cholangiocarcinoma: Oncological and technical issues. What does the surgeon expect from the drainage of a perihilar cholangiocarcinoma? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2025.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 73 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Perihilar cholangiocarcinoma is a rare, aggressive tumor whose only curative treatment is complete surgical resection followed by adjuvant chemotherapy. Surgery is technically complex, with a high risk of complications, notably postoperative liver failure. Preoperative biliary drainage plays a central role in preoperative optimization, but it should never be performed outside an expert center, without prior multidisciplinary consultation. It is not an emergency procedure in the absence of angiocholitis, and its indication must be guided by the forthcoming surgical strategy. The aim is to reduce bilirubinemia, prevent biliary infections, and prepare a future functional liver sufficient to avoid postoperative complications. The choice of technique (endoscopic or percutaneous) depends on anatomy, type of stenosis, and local expertise. An error in the drainage strategy (such as placing an uncovered metal prosthesis) can render the tumor unresectable and seriously compromise prognosis. The optimal approach is based on coordinated management, in a specialized center, from the diagnostic phase through to surgery. |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Dahel, Yanis |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Palen, Anais |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ratone, Jean-Philippe |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hoibian, Solène |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ewald, Jacques |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Turrini, Olivier |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Caillol, Fabrice |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Hépato-Gastro & Oncologie Digestive | 32 | 7 | 2025-09-23 | p. 633-641 | 2115-3310 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/journal-hepato-gastro-oncologie-digestive-2025-7-page-633?lang=en&redirect-ssocas=7080">https://stm.cairn.info/journal-hepato-gastro-oncologie-digestive-2025-7-page-633?lang=en&redirect-ssocas=7080</a> |
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