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Perhiliar cholangiocarcinoma - The Bismuth-Corlette 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 ductsor

    • multifocal involvement

 

  • type V

    • stricture at the junction of common bile duct and cystic duct

 

 

The classification system may be used both for cholangiocarcinoma and benign strictures.

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