Hepatic hilar resection for hilar cholangiocarcinoma based on a reclassification.
Major hepatic resection for hilar cholangiocarcinoma is reportedly closely associated with severe postoperative complications. We performed a new limited resection that included total resection of the caudate lobe and anterior segment (ventral region of the right paramedian sector), and bile duct resection with hepaticojejunostomy in 3 patients with hilar cholangiocarcinoma that had not infiltrated the hepatic artery or portal vein. In all 3 patients, curative surgical resections were obtained and no serious complications were encountered. This new limited resection based on a reclassification of the liver may offer an effective procedure in limited patients with hilar cholangiocarcinoma.
Cho
Akihiro
A
Department of Surgery, Chiba Cancer Center Hospital, 666-2 Nitonachou, Chuouku, Chiba 260-8717, Japan. acho@chiba-cc.jp
Asano
Takehide
T
Yamamoto
Hiroshi
H
Nagata
Matsuo
M
Takiguchi
Nobuhiro
N
Kainuma
Osamu
O
Souda
Hiroaki
H
Gunji
Hisashi
H
Miyazaki
Akinari
A
Nojima
Hiroyuki
H
Ikeda
Atsushi
A
Matsumoto
Ikuko
I
Ryu
Munemasa
M
Koike
Naoto
N
D001650:Bile Duct Neoplasms / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic; D018281:Cholangiocarcinoma / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans