Bismuth classification | Operative severity | |||||
---|---|---|---|---|---|---|
I | II | IIIA | IIIB | IV | ||
Exploration (without curative intend) | 1 | 1 | 0 | 1 | 4 | Minor |
Bypass operation (unresectable) | 13 | 6 | 5 | 3 | 4 | Moderate |
Bile duct resection | 13 | 6 | 6 | 2 | 12 | Major |
Perihilar hepatectomy | 0 | 0 | 1 | 0 | 0 | Major |
Right hemihepatectomy | 0 | 0 | 7 | 0 | 3 | Major |
Left hemihepatectomy | 0 | 0 | 0 | 5 | 3 | Major |
Extended right hemihepatectomy* | 0 | 0 | 2 | 0 | 0 | Major+ |
Extended left hemihepatectomy* | 0 | 0 | 0 | 1 | 1 | Major+ |