Cholangiocarcinoma and Bismuth Classification

This video explains how to remember the Bismuth Classification and how does it impact the operation you will be performing.
Distal Cholangiocarcinoma requires a Whipple
Type 1-2: requires a Bile duct resection with a hepaticojejunostomy
Type 3: requires resection of the affected bile duct, hepaticojejunostomy, and liver resection

Bismuth 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 ducts
or
multifocal involvement
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