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Cholangiocarcinoma and Bismuth Classification

This video explains how to remember the Bismuth Classification and how does it impact the operation you will be performing. Distal Cholangiocarcinoma requires a Whipple Type 1-2: requires a Bile duct resection with a hepaticojejunostomy Type 3: requires resection of the affected bile duct, hepaticojejunostomy, and liver resection Bismuth Classification type I limited to the common hepatic duct, below the level of the confluence of the right and left hepatic ducts type II involves the confluence of the right and left hepatic ducts type IIIa type II and extends to the bifurcation of the right hepatic duct type IIIb type II and extends to the bifurcation of the left hepatic duct type IV extending to the bifurcations of both right and left hepatic ducts or multifocal involvement #Absite #generalsurgeryboards