title: [Cholangiocarcinoma in the middle third of the bile duct treated with radical surgery in Guillermo Almenara Hospital, Lima, Peru].
abstract: We report the case of a patient who had the initial diagnosis of tumor in the bile duct in the middle third. Patient presented with lost weight of 10 kilograms in two months and moderate epigastric pain, no jaundice. The patient underwent radical surgery of the bile duct with multiple freeze biopsy surgical margins, intraoperative choledochoscopy, intraoperative cholangiography and reconstruction bilioenteric anastomosis Y Roux transmesocolic, he had a great recovery and early discharge. The pathological results showed moderately differentiated tubular adenocarcinoma on the basis of an adenoma. Negatives retroperitoneal, retropancreatic, pericholedochal, lesser curvature and negative hepatic artery nodes, and extension of surgical margins free of neoplasia proximal and distal edges. R0 surgery. pT1N0Mx. Stage 1. After the optimal surgical outcomes, is managed by liver and biliary tract surgery service and medical oncology service for regular monitoring and controls. We present here the sequence of events and a review of the literature.
authors.affiliation: Servicio de Cirugía de Hígado y Vías biliares, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Núñez Ju
authors.affiliation: Servicio de Cirugía de Hígado y Vías biliares, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Anchante Castillo
authors.affiliation: Servicio de Cirugía de Hígado y Vías biliares, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Victor
authors.initials: V
authors.lastname: Torres Cueva
authors.affiliation: Servicio de Cirugía de Hígado y Vías biliares, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Yeren Paredes
authors.affiliation: Servicio de Cirugía de Hígado y Vías biliares, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Felix
authors.initials: F
authors.lastname: Carrasco Mascaro
authors.affiliation: Servicio de Cirugía de Hígado y Vías biliares, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Oscar
authors.initials: O
authors.lastname: Becerra
authors.affiliation: Servicio de Cirugía de Hígado y Vías biliares, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Ernesto
authors.initials: E
authors.lastname: Cordero Palomino
authors.affiliation: Servicio de Anatomía Patológica, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú.
authors.forename: Julia
authors.initials: J
authors.lastname: Sumire
mesh_terms: D001650:Bile Duct Neoplasms / Q000175:diagnosis / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging / Q000601:surgery*; D018281:Cholangiocarcinoma / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010568:Peru