Preoperative portal vein embolization was performed on 240 consecutive patients with biliary cancer. Of these patients, 193 underwent extended hepatectomy with resection of the caudate lobe and extrahepatic bile duct (n = 187), pancreatoduodenectomy (n = 42), and/or portal vein resection (n = 63). Overall surgical mortality was 8.8%, and 5-year survival was 26.8% in cholangiocarcinoma and 17.1% in gallbladder cancer, respectively.
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