Application of perihilar surgical technique in the treatment of central cholangiectasis / 中国实用外科杂志

ABSTRACT

Central biliary dilatation (BD) is a primary biliary disease characterized by intrahepatic central biliary dilatation with or without extrahepatic biliary dilatation, including B1, B2, D1 and D2 in Dong clinical classification. Because of its great anatomical variability, impaired liver function, difficulty in preoperative evaluation and complicated operation, central BD has a high incidence of complications and poor prognosis.In view of the difficulties in diagnosis and treatment of central BD, comprehensive application of perihilar surgical technique,through preoperative systemic perihepatic portal imaging evaluation and liver function maintenance, individualized surgical treatment and comprehensive postoperative management will help to improve the surgical efficacy of central BD.