Best drainage for Bismuth IIIa hilar cancer?

A) Unilateral right

B) Unilateral left

C) Bilateral metal stents

D) Nasobiliary

Scroll down to find the answer…

The answer is

C) Bilateral metal stents

Bismuth IIIa involves the right secondary confluence. Bilateral drainage (left + right) is superior to unilateral to prevent cholangitis and effectively drain ≥50% of liver volume, with metal stents offering longer patency.

This question and many more will be explored during our Global Event on June 5th!