{"id":5562,"date":"2018-04-13T09:00:07","date_gmt":"2018-04-13T09:00:07","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/publish-32\/"},"modified":"2021-11-14T02:46:42","modified_gmt":"2021-11-14T02:46:42","slug":"classificacao-de-bismuth-corlette-tumores-hilares","status":"publish","type":"classificacao","link":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/classificacao-de-bismuth-corlette-tumores-hilares\/","title":{"rendered":"Classifica\u00e7\u00e3o de Bismuth-Corlette &#8211; Tumores Hilares"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-10506 size-large\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/04\/Bismuth-1-1024x790.png\" alt=\"\" width=\"1024\" height=\"790\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/04\/Bismuth-1-1024x790.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/04\/Bismuth-1-300x232.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/04\/Bismuth-1-768x593.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/04\/Bismuth-1-1170x903.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/04\/Bismuth-1-585x451.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/04\/Bismuth-1.png 1384w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Os tumores que envolvem a regi\u00e3o peri-hilar s\u00e3o classificados de acordo com o padr\u00e3o de envolvimento dos ductos hep\u00e1ticos (classifica\u00e7\u00e3o de Bismuth-Corlette):<\/p>\n<ul>\n<li>Tipo I: Tumores abaixo da conflu\u00eancia dos ductos hep\u00e1ticos<\/li>\n<li>Tipo II: Tumores acometendo a conflu\u00eancia dos ductos hep\u00e1ticos<\/li>\n<li>Tipo IIIa: Tumores envolvendo o ducto hep\u00e1tico comum e o ducto hep\u00e1tico direito<\/li>\n<li>Tipo IIIb: \u00a0Tumores envolvendo o ducto hep\u00e1tico comum e o ducto hep\u00e1tico esquerdo<\/li>\n<li>Tipo IV: Tumores que envolvem a conflu\u00eancia e se estendem para o ducto hep\u00e1tico direito e esquerdo<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Os tumores da via biliar que envolvem a bifurca\u00e7\u00e3o do ducto hep\u00e1tico comum s\u00e3o denominados tumores de Klatskin ou colangiocarcinoma hilar, independentemente de surgirem da por\u00e7\u00e3o intra-hep\u00e1tica ou extra-hep\u00e1tica da \u00e1rvore biliar.<\/p>\n<p>Os tumores peri-hilares s\u00e3o respons\u00e1veis \u200b\u200bpor aproximadamente 50% de todos os colangiocarcinomas, enquanto aproximadamente 40% s\u00e3o tumores extra-hep\u00e1ticos distais e 10% ou menos s\u00e3o intra-hep\u00e1ticos.<\/p>\n<p>Essa classifica\u00e7\u00e3o foi primeiramente descrita pelos cirurgi\u00f5es\u00a0Henri Bismuth e Marvin Corlette em 1975, e posteriormente modificada em 1992 para a forma que conhecemos hoje. Seu prop\u00f3sito original era guiar a conduta cir\u00fargica de acordo com os ductos acometidos:<\/p>\n<ul>\n<li>Tipo I: excis\u00e3o extra-hep\u00e1tica com anastomose biliodigestiva;<\/li>\n<li>Tipo II: anastomose na placa hilar;<\/li>\n<li>Tipo IIIa: hepatectomia direita;<\/li>\n<li>Tipo IIIb: hepatectomia esquerda;<\/li>\n<li>Tipo IV: transplante hep\u00e1tico<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Refer\u00eancia:<\/strong><\/p>\n<p>Bismuth H, Nakache R, Diamond T. Management strategies in resection for hilar cholangiocarcinoma. Ann Surg. 1992 Jan;215(1):31-8.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Os tumores que envolvem a regi\u00e3o peri-hilar s\u00e3o classificados de acordo com o&hellip;<\/p>\n","protected":false},"author":5709,"featured_media":10506,"template":"","categoria_de_classificacao":[181],"class_list":["post-5562","classificacao","type-classificacao","status-publish","has-post-thumbnail","hentry","categoria_de_classificacao-vias-biliares"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Classifica\u00e7\u00e3o de Bismuth-Corlette - Tumores Hilares &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/classificacao-de-bismuth-corlette-tumores-hilares\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Classifica\u00e7\u00e3o de Bismuth-Corlette - Tumores Hilares\" \/>\n<meta property=\"og:description\" content=\"&nbsp; 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