Extended resections for intrahepatic cholangiocellular carcinomas

Surgical resection of cholangiocellular carcinoma (CCC) is the only therapy with a curative intention. In contrast to hepatocellular carcinoma (HCC), CCC is only rarely associated with liver cirrhosis. Therefore, extended resection are also feasable and locally advanced tumors resectable. From 1988 to 2002, 2051 patients underwent hepatic resection in our institution, among these 84 patients (4%) suffering from CCC. The surgical procedures in these patients were wedge resections (5%), hemihepatectomies (42%), extended resections (33%) and trisectionectomies (20%). The postoperative mortality (90 days) was 8% in…