title: Resection of hilar cholangiocarcinoma combined with left hepatectomy and common hepatic arteriectomy without reconstruction.
abstract: OBJECTIVE
  To detect the feasibility of using synchronous bile duct, left lobe of liver and common hepatic artery resection without reconstruction to improve the therapeutic efficacy of HC.
  
  
  METHODS
  A total of 19 patients with hilar cholangiocarcinoma undergoing left-sided hepatectomy, hepatic artery resection and right hepatic duct-jejunum anastomosis from June 2005 to May 2010 in our team were included prospectively in this study.
  
  
  RESULTS
  One case died from probable sudden myocardial infarction before discharge from hospital. Little bile leakage occurred in one case. No hepatic insufficiency developed in any cases. A follow-up of 6-66 months was applied and 11 cases were still alive at the end.
  
  
  CONCLUSIONS
  Hepatic Arteriectomy is viable with lower total bilirubin and the excision weight up to about 30% of the standard liver.
authors.affiliation: West China Hospital, Chengdu, China.
authors.forename: Guanlin
authors.initials: G
authors.lastname: Liang
authors.forename: Tianfu
authors.initials: T
authors.lastname: Wen
authors.forename: Kai
authors.initials: K
authors.lastname: Mi
authors.forename: Chuan
authors.initials: C
authors.lastname: Li
authors.forename: Chuan
authors.initials: C
authors.lastname: Wang
authors.forename: Kewei
authors.initials: K
authors.lastname: Li
authors.forename: Chen
authors.initials: C
authors.lastname: Li
authors.forename: Yunhao
authors.initials: Y
authors.lastname: Tang
mesh_terms: D000368:Aged; D000713:Anastomosis, Roux-en-Y; D001650:Bile Duct Neoplasms / Q000097:blood / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic / Q000378:metabolism / Q000473:pathology / Q000601:surgery*; D001663:Bilirubin / Q000097:blood; D018281:Cholangiocarcinoma / Q000097:blood / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects / Q000401:mortality; D006499:Hepatic Artery / Q000601:surgery*; D017052:Hospital Mortality; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000401:mortality
chemical_list: D001663:Bilirubin