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Table 1 Resectability classification of localized perihilar cholangiocarcinoma from surgical points of view

From: Neoadjuvant chemotherapy followed by curative-intent surgery for perihilar cholangiocarcinoma based on its anatomical resectability classification and lymph node status

Resectability

Biliary factor

 

Vascular factor

Resectable (R)

Curative resection can be obtained by either side of right or left TSN or less hepatectomy

and

Combined VR with reconstruction of PV and/or HA is not required regardless of vascular invasion

Borderline

Resectable (BR)

Curative resection can be obtained by either side of right or left TSN or less hepatectomy

and

Combined VR with safe reconstruction of PV and/or HA can be performed

Locally advanced (LA)

Curative resection cannot be obtained even by either side of right or left TSN

and/or

Combined VR with safe reconstruction of PV and/or HA cannot be performed

  1. TSN trisectionectomy, VR vascular resection, PV portal vein, HA hepatic artery