000			02065cam a2200241 4500500
005			20251214025844.0
041			_afre
042			_adc
100	1	0	_aGarnier, Jonathan _eauthor
700	1	0	_aDahel, Yanis _eauthor
700	1	0	_aPalen, Anais _eauthor
700	1	0	_aRatone, Jean-Philippe _eauthor
700	1	0	_aHoibian, Solène _eauthor
700	1	0	_aEwald, Jacques _eauthor
700	1	0	_aTurrini, Olivier _eauthor
700	1	0	_aCaillol, Fabrice _eauthor
245	0	0	_aPreoperative biliary drainage of perihilar cholangiocarcinoma: Oncological and technical issues. What does the surgeon expect from the drainage of a perihilar cholangiocarcinoma?
260			_c2025.
500			_a73
520			_aPerihilar 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.
786	0		_nHépato-Gastro & Oncologie Digestive | 32 | 7 | 2025-09-23 | p. 633-641 | 2115-3310
856	4	1	_uhttps://stm.cairn.info/journal-hepato-gastro-oncologie-digestive-2025-7-page-633?lang=en&redirect-ssocas=7080
999			_c1573136 _d1573136