Extended right hepatectomy for hilar cholangiocarcinoma with resection of the left hepatic duct prior to hepatic resection |
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Authors: | Miyazawa Mitsuo Toshimitsu Yasuko Torii Takahiro Okada Katsuya Koyama Isamu |
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Institution: | Saitama Medical School, Department of Surgery, Saitama, Japan. miyazawa@saitama-med.ac.jp |
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Abstract: | Extended hepatectomy for hilar cholangiocarcinoma results in high operative or in-hospital mortality rates despite of the recent progress in perioperative management. As a new procedure to prevent postoperative hepatic failure in hilar cholangiocarcinoma infiltrating predominantly the right hepatic duct, we devised a combination of extended right lobectomy plus caudal lobectomy with resection of the left hepatic duct prior to hepatic resection by utilizing intraoperative cholangiography, and applied the procedure to a 70-year-old patient. He had a favorable postoperative course and remains recurrence-free at 4 years after operation. This is a procedure for confining the extent of hepatectomy to the minimum necessary, aiming at curative resection of hilar cholangiocarcinoma. |
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Keywords: | extended right hepatectomy hilar cholangiocarcinoma postoperative liver failure intraoperative cholangiography |
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