Abstract
Radical resection has been revealed to be a most important prognostic factor for the prognosis after surgical resection in patients with hilar cholangiocarcinoma. Therefore, it is very important that surgical resection with cancer-free surgical margin should be done without postoperative major complications in surgical treatment for hilar cholangiocarcinoma. For obtaining favorable surgical outcome, several modalities of meticulous preoperative diagnosis of cancer extension and of liver functional capacity, portal vein embolization, biliary drainage, combined vascular resection and parenchymal preserving hepatectomy etc. should be appropriately selected and utilized in each patient. Herein, the present criteria of respectability of hilar cholangiocarcinoma were described, and also which surgical procedures should be selected in each respectable patient was revealed. The clinician has to stick to surgical resection for hilar cholangiocarcinoma as much as possible because surgical resection can be only hope for cure. Aggressive surgical management for hilar cholangiocarcinoma was described in this paper.
