Bismuth 1

Bismuth 1 exploration

Bismuth 1 stent

Bismuth 3b

Bismuth 3b stent

Bismuth 4 duct discontinuation

Bismuth 4

Exploration right

Exploration left

Double stent

Bismuth classification:

  • Type I: spreading of the tumor is slightly below the union of the ductus hepaticus dx. et sin.
  • Type II: union of hepatic ducts is affected
  • Type IIIa and IIIb: Spreading into the right or left main branch of ductus hepaticus
  • Type IV: the tumor affects both main branches of ductus hepaticus