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Liver transplantation for intrahepatic and perihilar cholangiocarcinoma: Current and future |
Shu-Sen Zheng a , b , c , ∗, Zhe Yang a , b , c , Yi-Chao Wu c |
a Department of Hepatobiliary and Pancreatic Surgery, Department of Liver Transplantation, Shulan (Hangzhou) Hospital, Zhejiang Shuren University School
of Medicine, Hangzhou 310022, China
b National Clinical Research Center of Infectious Diseases, Hangzhou 310003, China
c Division of Hepatobiliary Pancreatic Surgery, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
∗ Corresponding author at: Department of Hepatobiliary and Pancreatic Surgery, Department of Liver Transplantation, Shulan (Hangzhou) Hospital, Zhejiang Shuren University School of Medicine, Hangzhou 310022, China.
E-mail address: shusenzheng@zju.edu.cn (S.-S. Zheng). |
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Abstract Cholangiocarcinomas are categorized as intrahepatic cholangiocarcinoma (iCCA), perihilar cholangiocarcinoma (pCCA), and distal cholangiocarcinoma (dCCA) [1]. iCCA and pCCA are the second most common primary hepatobiliary malignant neoplasms [1,2]. Most patients with iCCA and pCCA have asymptomatic clinical course, highly aggressive nature and dismal prognosis [3]. Complete surgical resection offers the best possibility of long-term survival but only a minority of patients are amenable to R0 resection [4]. Tumor involvement of segmental bilateral intrahepatic bile duct, inadequate remnant liver volume or hepatic functional reserve due to underlying chronic liver disease, are key factors limiting the resectability of iCCA and pCCA. Liver transplantation (LT) provides an option for patients with unresectable iCCA and pCCA [4].
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