Bile Duct Cancer Treatment and Surgery
These rare tumors can be difficult to diagnose promptly and accurately, making it critical to pursue care at an institution which sees a high-volume of this type of cancer. Mount Sinai is a major referral center for patients with cancers of the bile duct, and our surgeons have special expertise in treating this disease. Our highly specialized surgeons collaborate closely with colleagues from our renowned Department of Gastroenterology where advanced techniques to visualize and biopsy the biliary tree are available. In addition, we use the latest advances in imaging to accurately stage this cancer and create customized treatment plans for each of our patients.
Depending on the location of the tumor, treatment for bile duct cancer may involve different types of surgical procedures. Since the biliary tree extends into the liver and the pancreas, operations to remove a bile duct cancer may require resection of parts of these other organs as well. We have extensive experience in all aspects of the surgical treatment of this disease, including:
- Liver resection is performed for tumors arising from the ducts inside the liver, known as intrahepatic cholangiocarcinoma.
- Combined liver and bile duct resection is performed for tumors stemming from the ducts as they enter the liver, known as hilar cholangiocarcinoma or Klatskin's tumor.
- Pancreaticoduodenectomy, or Whipple Procedure, is performed for lower bile duct tumors which extend into the pancreas. The bile duct is resected in combination with the head of the pancreas in order to ensure clear margins.
- Biliary Bypass is used for tumors that are not surgically resectable. This entails attaching the bile duct to another area of the small intestine, creating a new path around the blockage created by the tumor.
Bile Duct Injuries
Due to Mount Sinai's expertise with liver and bile duct cancers, our surgeons are also well-versed at treating non-cancer related injuries to the bile duct. In fact, Mount Sinai is one of the leading referral centers for bile duct injuries in New York City. When the bile duct is injured, we create a new connection from the bile duct to the intestine. The most common treatment, called hepaticojejunostomy, bypasses the injured portion of the bile duct, allowing restoration of normal bile flow.
Mount Sinai Surgical Associates
Division of Surgical Oncology
1470 Madison Ave, 3rd Fl
New York, NY 10029