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)

détails MARC
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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
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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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