Abstract | BACKGROUND: METHODS: RESULTS: After extensive hilar bile duct resection, bile duct stumps ranged in number from 3 to 7 mm (mean 4.4). Surgical margins at bile duct stump were free of cancer in all 4 cancer patients. The long-term outcomes were as follows: 3 patients are alive at the time of publication, and 2 patients have died. CONCLUSIONS: A transhepatic approach may be useful when performing extensive hilar bile duct resection bile duct stricture of biliary disease at the hepatic hilus, especially in high-risk patients who are unfit for major hepatectomy as well as in those having benign bile duct stricture and low-grade malignancy.
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Authors | Masaru Miyazaki, Fumio Kimura, Hiroaki Shimizu, Hiroyuki Yoshidome, Masayuki Otsuka, Atsushi Kato, Yoshitomi Hideyuki, Satoshi Nozawa, Katsunori Furukawa, Noboru Mituhashi, Dan Takeuchi, Kousuke Suda, Shigetsugu Takano |
Journal | American journal of surgery
(Am J Surg)
Vol. 196
Issue 1
Pg. 125-9
(Jul 2008)
ISSN: 1879-1883 [Electronic] United States |
PMID | 18466867
(Publication Type: Journal Article)
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Topics |
- Aged
- Aged, 80 and over
- Bile Duct Diseases
(surgery)
- Biliary Tract Surgical Procedures
(methods)
- Humans
- Male
- Middle Aged
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