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Calogero Iacono, Andrea Ruzzenente*, Simone Conci, Andrea Ciangherotti, Tommaso Campagnaro, Alfredo Guglielmi
Department of Surgery , University of Verona Medical School, Verona, Italy

Bile duct papillomatosis is a rare disease of the entire biliary tree, with multiple papillary tumors. This disease may require extended biliary resective surgery.
This video describe a case of a 76 years-old male with a multifocal cholangiocarcinoma and obstructive jaundice. Preoperative cholangioscopy confirmed common bile duct and left bile duct papillomatosis with cholangiocarcinoma.
A left hepatectomy with caudate lobe resection and pancreatico-duodenectomy was performed.
The operative time was of 510 min, PO was without complications.
The hepato-duodenectomy is a very complex surgery that should be performed in selected cases with cancers involving the intrahepatic and distal bile ducts.

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