Management strategies in resection for carcinoma of the hepatic duct confluence: how to increase the resectability rate - Our experience and literature review

The resectability rate of hilar bile duct carcinoma is reported to be varia ble and to inversely correlate,vith the size of the associated liver resect ion. In an attempt to reduce the risk of postoperative liver failure, the i nduction of a hypertrophy of remnant liver by preoperative portal vein embo lization (PVE) has been proposed. We hereby analyse the results and the tec hnical aspects of this procedure along with our personal experience.