BACKGROUND: Since the first attempts at resection of @entity5 , an increasingly aggressive surgical treatment has been proposed. Results obtained after examination of the specimen have shown that a significant proportion of resections were palliative. Curative resection appears to be difficult to perform selectively. METHODS: This retrospective study evaluates the results of a surgically-oriented management of @entity1126 . Thirty-nine @entity1 were operated on in the period 1982-1994. Eighteen resections were carried out, requiring liver resection in 13 cases. Pathology of the specimen showed that the resection had been curative in 14 cases. The remaining 21 @entity1 had surgical palliation, i.e. bypass and/or stenting. RESULTS: In the resection group, there was no death but four @entity1 suffered severe @entity532 . The 1- and 5-year survival rates were 67 and 47 per cent respectively, with a median survival of 26 months. In the palliation group, the mortality rate was 14 per cent and median survival was 7 months. CONCLUSION: In the absence of evident contraindications, surgical exploration is worthwhile as it allows detection of the cases where curative resection is possible. Curative resection often requires a major hepatectomy, but mortality and morbidity may be kept low, and it offers a real hope of cure.

Surgical strategy for the management of XXXX .

@entity5 :: ('MESH:D009369', 'Disease') :: ['Klatskin tumours'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity532 :: ('MESH:D003925', 'Disease') :: ['complications'] @entity1126 :: ('MESH:D001650', 'Disease') :: ['hilar bile duct cancers']
@entity1126 :: (MESH:D001650,Disease) :: ['hilar bile duct cancer']
