A Klatskin tumor is a perihilar cholangiocarcinoma arising near the junction of the right and left hepatic ducts.
What is this condition?
Surgical planning is complex because of close biliary and vascular relationships.
Signs and symptoms
Jaundice, itching, dark urine and pale stools are common; fever/chills may occur with cholangitis.
Diagnostic assessment
MRCP and contrast-enhanced imaging are important for defining biliary and vascular anatomy.
General treatment framework
When complete resection is feasible, surgery is central; future liver remnant and vascular involvement are important.
Role of surgery
Surgery may include bile duct resection, right or left hepatectomy and biliary reconstruction.