Mgmt for 2.9cm lobulated mid-CBD cholangiocarcinoma w/bulky portahepatis adenopathy & portal vein invasion?Bile ducts can be encircled, are grossly normal
Bile duct resection, proximal and distal bile ducts frozen sections, portal vein resection, and portal lymphadenectomy
Whipple’s, proximal bile duct frozen section, portal vein resection, and portal lymphadenectomy
Right hepatectomy, distal bile duct frozen section, portal vein resection, and portal lymphadenectomy
Abandon the surgery
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