摘要
Liver resection plays a central role in the curative-intent treatment of both primary and metastatic liver tumors.While small,peripheral tumors can often be extirpated with non-anatomic limited resections,larger,centrally located lesions and certain histologies may require extended hepatectomies with biliary and/or vascular reconstruction.These complex liver resections constitute some of most challenging operations performed by hepatopancreatobiliary(HPB)surgeons.A classic example is extended hemihepatectomy with bile duct and caudate lobe resection for perihilar cholangiocarcinoma,which is associated with short-term mortality rates exceeding 15%in some series(1,2).