[A case of curatively resected intrahepatic cholangiocarcinoma with hepatic artery and portal vein reconstruction].
We report a case of curatively resected intrahepatic cholangiocarcinoma (ICC) with hepatic artery (HA) and portal vein (PV) reconstruction. A 25-year-old man was diagnosed with ICC. Computed tomography (CT) showed that the tumor had invaded the left and common hepatic duct, the right and left HA, and the main branch of the PV. Because the posterior HA was tumor free, we performed a left trisegmentectomy, PV and HA resection and reconstruction, and a hepatocholangiojejunostomy. Pathological examination revealed a tumor classification of T3, N1, M0, Stage IVB. The patient was discharged on postoperative day 59 and gemcitabine (1,000 mg/m²) was administered as adjuvant chemotherapy. However, abdominal CT revealed peritoneal metastasis 8 months after the surgery. A gemcitabine, cisplatin, and TS-1 (GCS) regimen was selected as treatment, and the patient is alive 13 months after surgery.
Dept. of Gastroenterological Surgery, Graduate School of Medicine, Osaka University.
Yusuke
Y
Matsuura
Hiroshi
H
Wada
Yoshito
Y
Tomimaru
Akira
A
Tomokuni
Naoki
N
Hama
Koichi
K
Kawamoto
Shogo
S
Kobayashi
Shigeru
S
Marubashi
Hidetoshi
H
Eguchi
Koji
K
Umeshita
Yuichiro
Y
Doki
Masaki
M
Mori
Hiroaki
H
Nagano
D000328:Adult; D001650:Bile Duct Neoplasms / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D001662:Biliary Tract Surgical Procedures; D018281:Cholangiocarcinoma / Q000098:blood supply / Q000601:surgery*; D006498:Hepatectomy; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D011169:Portal Vein / Q000601:surgery*