title: Resection of a cholangiocarcinoma via laparoscopic hepatopancreato- duodenectomy: a case report.
abstract: Some laterally advanced cholangiocarcinomas behave as ductal spread or local invasion, and hepatopancreatoduodenectomy (HPD) may be performed for R0 resection. To date, there have been no reports of laparoscopic HPD (LHPD) in the English literature. We report the first case of LHPD for the resection of a Bismuth IIIa cholangiocarcinoma invading the duodenum. The patient underwent laparoscopic pancreaticoduodenectomy and right hemihepatectomy. Child's approach was used for the reconstruction. The patient recovered well with bile leakage from the 2(nd) postoperative day and was discharged on the 16(th) postoperative day with a drainage tube in place which was removed 2 wk after discharge. Postoperative pathology revealed a well-differentiated cholangiocarcinoma and the margin of liver parenchyma, pancreas and stomach was negative for metastases. The results suggest that LHPD is a feasible and safe procedure when performed in highly specialized centers and in suitable patients with cholangiocarcinoma.
authors.affiliation: Miao-Zun Zhang, Xiao-Wu Xu, Yi-Ping Mou, Jia-Fei Yan, Yi-Ping Zhu, Ren-Chao Zhang, Yu-Cheng Zhou, Ke Chen, Wei-Wei Jin, Erik Matro, Harsha Ajoodhea, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Miao-Zun
authors.initials: MZ
authors.lastname: Zhang
authors.affiliation: Miao-Zun Zhang, Xiao-Wu Xu, Yi-Ping Mou, Jia-Fei Yan, Yi-Ping Zhu, Ren-Chao Zhang, Yu-Cheng Zhou, Ke Chen, Wei-Wei Jin, Erik Matro, Harsha Ajoodhea, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Xiao-Wu
authors.initials: XW
authors.lastname: Xu
authors.affiliation: Miao-Zun Zhang, Xiao-Wu Xu, Yi-Ping Mou, Jia-Fei Yan, Yi-Ping Zhu, Ren-Chao Zhang, Yu-Cheng Zhou, Ke Chen, Wei-Wei Jin, Erik Matro, Harsha Ajoodhea, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Yi-Ping
authors.initials: YP
authors.lastname: Mou
authors.affiliation: Miao-Zun Zhang, Xiao-Wu Xu, Yi-Ping Mou, Jia-Fei Yan, Yi-Ping Zhu, Ren-Chao Zhang, Yu-Cheng Zhou, Ke Chen, Wei-Wei Jin, Erik Matro, Harsha Ajoodhea, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Jia-Fei
authors.initials: JF
authors.lastname: Yan
authors.affiliation: Miao-Zun Zhang, Xiao-Wu Xu, Yi-Ping Mou, Jia-Fei Yan, Yi-Ping Zhu, Ren-Chao Zhang, Yu-Cheng Zhou, Ke Chen, Wei-Wei Jin, Erik Matro, Harsha Ajoodhea, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Yi-Ping
authors.initials: YP
authors.lastname: Zhu
authors.affiliation: Miao-Zun Zhang, Xiao-Wu Xu, Yi-Ping Mou, Jia-Fei Yan, Yi-Ping Zhu, Ren-Chao Zhang, Yu-Cheng Zhou, Ke Chen, Wei-Wei Jin, Erik Matro, Harsha Ajoodhea, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Ren-Chao
authors.initials: RC
authors.lastname: Zhang
authors.affiliation: Miao-Zun Zhang, Xiao-Wu Xu, Yi-Ping Mou, Jia-Fei Yan, Yi-Ping Zhu, Ren-Chao Zhang, Yu-Cheng Zhou, Ke Chen, Wei-Wei Jin, Erik Matro, Harsha Ajoodhea, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Yu-Cheng
authors.initials: YC
authors.lastname: Zhou
authors.affiliation: Miao-Zun Zhang, Xiao-Wu Xu, Yi-Ping Mou, Jia-Fei Yan, Yi-Ping Zhu, Ren-Chao Zhang, Yu-Cheng Zhou, Ke Chen, Wei-Wei Jin, Erik Matro, Harsha Ajoodhea, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Ke
authors.initials: K
authors.lastname: Chen
authors.affiliation: Miao-Zun Zhang, Xiao-Wu Xu, Yi-Ping Mou, Jia-Fei Yan, Yi-Ping Zhu, Ren-Chao Zhang, Yu-Cheng Zhou, Ke Chen, Wei-Wei Jin, Erik Matro, Harsha Ajoodhea, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Wei-Wei
authors.initials: WW
authors.lastname: Jin
authors.affiliation: Miao-Zun Zhang, Xiao-Wu Xu, Yi-Ping Mou, Jia-Fei Yan, Yi-Ping Zhu, Ren-Chao Zhang, Yu-Cheng Zhou, Ke Chen, Wei-Wei Jin, Erik Matro, Harsha Ajoodhea, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Erik
authors.initials: E
authors.lastname: Matro
authors.affiliation: Miao-Zun Zhang, Xiao-Wu Xu, Yi-Ping Mou, Jia-Fei Yan, Yi-Ping Zhu, Ren-Chao Zhang, Yu-Cheng Zhou, Ke Chen, Wei-Wei Jin, Erik Matro, Harsha Ajoodhea, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Harsha
authors.initials: H
authors.lastname: Ajoodhea
mesh_terms: D001650:Bile Duct Neoplasms / Q000473:pathology / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic / Q000473:pathology / Q000601:surgery*; D018281:Cholangiocarcinoma / Q000473:pathology / Q000601:surgery*; D049448:Cholangiopancreatography, Magnetic Resonance; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D016577:Pancreaticoduodenectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Cholangiocarcinoma; Hemihepatectomy; Hepatopancreatoduodenectomy; Laparoscopic surgery; Pancreaticoduodenectomy