title: Extended left hepatic lobectomy for hepatic hilar bile duct cancer: a novel surgical procedure in which the right hepatic duct is transected before the hepatoduodenal ligament is skeletonized.
abstract: As a general principle, the procedure of isolating a cancer region from surrounding tissues (skeletonization) is not taken until the last stage of a cancer operation. This principle is often disregarded in surgery for cancers of the hepatic hilar duct, however, as it may be mandatory to skeletonize the region before resecting the liver. Our group invented 'extended left hepatic lobectomy', a new surgical procedure for hepatic hilar bile duct cancer, in which we isolate the liver and transect the right hepatic duct before skeletonizing the cancer region in the hepatoduodenal ligament.
authors.affiliation: Department of Surgery, Gastrointestinal Surgery Division, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka-Shi, Saitama, Japan. miyazawa@saitama-med.ac.jp
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Miyazawa
authors.forename: Masayasu
authors.initials: M
authors.lastname: Aikawa
authors.forename: Katsuya
authors.initials: K
authors.lastname: Okada
authors.forename: Takahiro
authors.initials: T
authors.lastname: Torii
authors.forename: Kojun
authors.initials: K
authors.lastname: Okamoto
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Toshimitsu
authors.forename: Isamu
authors.initials: I
authors.lastname: Koyama
mesh_terms: D001650:Bile Duct Neoplasms / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D008022:Ligaments / Q000601:surgery; D008297:Male; D008875:Middle Aged