Extended right hepatectomy for hilar cholangiocarcinoma with resection of the left hepatic duct prior to hepatic resection.
Extended hepatectomy for hilar cholangiocarcinoma results in high operative or in-hospital mortality rates despite of the recent progress in perioperative management. As a new procedure to prevent postoperative hepatic failure in hilar cholangiocarcinoma infiltrating predominantly the right hepatic duct, we devised a combination of extended right lobectomy plus caudal lobectomy with resection of the left hepatic duct prior to hepatic resection by utilizing intraoperative cholangiography, and applied the procedure to a 70-year-old patient. He had a favorable postoperative course and remains recurrence-free at 4 years after operation. This is a procedure for confining the extent of hepatectomy to the minimum necessary, aiming at curative resection of hilar cholangiocarcinoma.
Miyazawa
Mitsuo
M
Saitama Medical School, Department of Surgery, Saitama, Japan. miyazawa@saitama-med.ac.jp
Toshimitsu
Yasuko
Y
Torii
Takahiro
T
Okada
Katsuya
K
Koyama
Isamu
I
D000368:Aged; D001650:Bile Duct Neoplasms / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging / Q000601:surgery*; D018281:Cholangiocarcinoma / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008297:Male; D013525:Surgical Instruments