Resection of hilar cholangiocarcinoma combined with left hepatectomy and common hepatic arteriectomy without reconstruction.

Abstract

BACKGROUND/AIMS:

To detect the feasibility of using synchronous bile duct, left lobe of liver and common hepatic artery resection without reconstruction to improve the therapeutic efficacy of HC.

METHODOLOGY:

A total of 19 patients with hilar cholangiocarcinoma undergoing left-sided hepatectomy, hepatic artery resection and right hepatic duct-jejunum anastomosis from June 2005 to May 2010 in our team were included prospectively in this study.

RESULTS:

One case died from probable sudden myocardial infarction before discharge from hospital. Little bile leakage occurred in one case. No hepatic insufficiency developed in any cases. A follow-up of 6-66 months was applied and 11 cases were still alive at the end.

CONCLUSIONS:

Hepatic Arteriectomy is viable with lower total bilirubin and the excision weight up to about 30% of the standard liver.

• Authors: Guanlin Liang, Tianfu Wen, Kai Mi, Chuan Li, Chuan Wang, Kewei Li, Chen Li, Yunhao Tang
• Journal: Hepato-gastroenterology (Hepatogastroenterology) 2012 Mar-Apr Vol. 59 Issue 114 Pg. 364-5 ISSN: 0172-6390 [Print] Greece
• PMID: 22353499 (Publication Type: Journal Article)

Chemical References

• Bilirubin

Topics

• Aged
• Anastomosis, Roux-en-Y
• Bile Duct Neoplasms (blood, mortality, pathology, surgery)
• Bile Ducts, Intrahepatic (metabolism, pathology, surgery)
• Bilirubin (blood)
• Cholangiocarcinoma (blood, mortality, pathology, surgery)
• Feasibility Studies
• Female
• Hepatectomy (adverse effects, mortality)
• Hepatic Artery (surgery)
• Hospital Mortality
• Humans
• Jejunum (surgery)
• Male
• Middle Aged
• Prospective Studies
• Time Factors
• Treatment Outcome
• Vascular Surgical Procedures (adverse effects, mortality)