<p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p> <p>The only curative treatment for proximal bile duct cancer with involvement of both main hepatic ducts is
liver transplantation. Most patients do not fulfill the requirements for liver transplantation. Our
treatment strategy in appropriate cases is palliative tumor resection and reconstruction of the biliary
passage by sutureless bilioenteric anastomosis. We have treated 12 patients, 5 in combination with
intraluminal and percutaneous radiotherapy. Our results indicate that this strategy leads to effective
palliation in some cases provided that only microscopic residual tumor is left in-situ. Our survival times
compare favourably with survival after liver transplantation.</p>
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HPB Surg. 1992; 5(4):235-249