2018 Volume 32 Issue 1 Pages 33-43
The idea whether "I should think about the outbreak of a tumor, the disease in an epithelium of the whole organ" from the report of the autopsy example that a cancer coincided to the experience of the case that lower part cholangiocarcinoma generated 11 years after a hepatic portal region cholangiocarcinoma operation and gallbladder, lower part bile duct is realistic enough. In other words, you should think about "biliary tract running through the liver and gall pancreas" about the patient of the biliary tract disease. I remove only main tumor of the central part cholangiocarcinoma surgically, and there may be the operation adaptation to anastomose bile duct and jejunum. I wrote down frequency of gallbladder IPNB, Nomenclature (taxonomic glossology) of IPNB. In addition, I wrote down relations of importance of the dissection of the hepatoduodenal ligament, gallbladder cancer and cholelithiasis, an art of the surgery excision for the benign tumor of the papilla of Vater, the main point of the pancreaticooduodenectomy art.
