Background : Hepatopancreatoduodenectomy is one of the most complex abdominal operations mainly indicated in advanced biliary carcinoma. Aim : To present 10-year experience performing this operation in advanced malignant tumors. Methods : This is a retrospective descriptive study. https://www.roneverhart.com/5-15P-ANGLE-PLUG-B-W-HUBBELL-HBL5266CA/