Surgical technique of hepatectomy combined with simultaneous resection of hepatic artery and portal vein for perihilar cholangiocarcinoma (with video)

2014 ◽  
Vol 21 (8) ◽  
pp. E57-E61 ◽  
Author(s):  
Tomoki Ebata ◽  
Takaaki Ito ◽  
Yukihiro Yokoyama ◽  
Tsuyoshi Igami ◽  
Gen Sugawara ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Portal Vein ◽  
Hepatic Artery ◽  
Perihilar Cholangiocarcinoma ◽  
Simultaneous Resection

Hepatectomy With Simultaneous Resection of the Portal Vein and Hepatic Artery for Advanced Perihilar Cholangiocarcinoma

2010 ◽  
Vol 252 (1) ◽  
pp. 115-123 ◽  
Author(s):  
Masato Nagino ◽  
Yuji Nimura ◽  
Hideki Nishio ◽  
Tomoki Ebata ◽  
Tsuyoshi Igami ◽  
...  
Keyword(s):  
Portal Vein ◽  
Hepatic Artery ◽  
Perihilar Cholangiocarcinoma ◽  
Simultaneous Resection

scholarly journals Major hepatectomy with concomitant vascular resection (portal vein and/or hepatic artery) for perihilar cholangiocarcinoma

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S1014
Author(s):  
T. Noji ◽  
K. Okamura ◽  
K. Tanaka ◽  
Y. Nakanishi ◽  
T. Asano ◽  
...  
Keyword(s):  
Portal Vein ◽  
Hepatic Artery ◽  
Major Hepatectomy ◽  
Perihilar Cholangiocarcinoma ◽  
Vascular Resection

The prognostic value of hepatic artery and portal vein involvement in patients with perihilar cholangiocarcinoma

2017 ◽  
Vol 66 (1) ◽  
pp. S447
Author(s):  
M. Gaspersz ◽  
J. van Vugt ◽  
R. Coelen ◽  
J. Vugts ◽  
T. Labeur ◽  
...  
Keyword(s):  
Portal Vein ◽  
Hepatic Artery ◽  
Prognostic Value ◽  
Perihilar Cholangiocarcinoma

scholarly journals The prognostic value of portal vein and hepatic artery involvement in patients with perihilar cholangiocarcinoma

HPB ◽  
2018 ◽  
Vol 20 (1) ◽  
pp. 83-92 ◽  
Author(s):  
Jeroen L.A. van Vugt ◽  
Marcia P. Gaspersz ◽  
Robert J.S. Coelen ◽  
Jaynee Vugts ◽  
Tim A. Labeur ◽  
...  
Keyword(s):  
Portal Vein ◽  
Hepatic Artery ◽  
Prognostic Value ◽  
Perihilar Cholangiocarcinoma

scholarly journals Indication and surgical technique of hepatopancreaticoduodenectomy with combined resection of portal vein and hepatic artery for biliary cancer

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S252
Author(s):  
Y. Kazami ◽  
Y. Sakamoto ◽  
T. Kokudo ◽  
N. Akamatsu ◽  
J. Arita ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Portal Vein ◽  
Hepatic Artery ◽  
Biliary Cancer ◽  
Combined Resection

Hepatectomy with simultaneous resection of portal vein for Bismuth IV perihilar cholangiocarcinoma: a case report

2021 ◽  
Author(s):  
Shuo Wang ◽  
Zhe Yang ◽  
Kai-Wun Chang ◽  
Shusen Zheng
Keyword(s):  
Liver Function ◽  
Portal Vein ◽  
Perihilar Cholangiocarcinoma ◽  
R0 Resection ◽  
Portal Vein Invasion ◽  
Case Presentation ◽  
Right Hemihepatectomy ◽  
Type Iv ◽  
Simultaneous Resection ◽  
Vein Resection

Abstract Background: Surgical resection is the only potential treatment choice for patients with cholangiocarcinoma. Portal vein invasion used to be a primary cause of irresectable tumor. Nowadays, portal vein resection and reconstruction has become a routine surgical procedure.Case presentation: A 65-year-old male patient, suffering from jaundice and abnormal liver function was referred to our hospital for intensive examination. Before admission to our center, the patient had been undergoing percutaneous transhepatic cholangial drainage (PTCD) for six days for the palliation of jaundice and liver function. A series of check-ups and examinations resulted in the diagnosis of Bismuth type IV perihilar cholangiocarcinoma. The patient later received right hemihepatectomy and Roux-en-Y choledochojejunostomy. As the portal vein was affected by tumor, it was partially removed and reconstructed. In addition, the portal vein thrombus (PVT) was removed, and a portal vein stent was placed. After surgery, the patient received six courses of chemotherapy. A gemcitabine-based regimen in combination with S-1 were used. Nineteen months after the surgery, the patient is still healthy.Conclusions: This report demonstrates that hepatectomy with simultaneous resection of portal vein for Bismuth type IV perihilar cholangiocarcinoma may contribute to a satisfactory result. Consequently, combined resection and reconstruction is often required when negative pathological resection (R0 resection) is performed.

scholarly journals Eight-Year Survival Following Left Hepatic Trisectionectomy With Combined Hepatic Artery And Portal Vein Resection For Advanced Perihilar Cholangiocarcinoma

2021 ◽  
Author(s):  
Haitham Triki ◽  
Heithem Jeddou ◽  
Stylianos Tzedakis ◽  
Dihia Belabbas ◽  
Solène Florence Kammerer-Jacquet ◽  
...  
Keyword(s):  
Portal Vein ◽  
Hepatic Artery ◽  
Perihilar Cholangiocarcinoma ◽  
Portal Vein Resection ◽  
Extended Hepatectomy ◽  
Hepatic Artery Resection ◽  
Left Hepatic Trisectionectomy ◽  
Vein Resection ◽  
Left Trisectionectomy ◽  
Artery Resection

Abstract We report the case of a patient with exceptional survival over 8 years after left trisectionectomy combined with portal vein and hepatic artery resection and reconstruction for advanced perihilar cholangiocarcinoma. Such extended hepatectomy with vascular resection is the only way to obtain free tumor margin. It can be performed with acceptable morbidity and mortality and it is the only hope to prolong survival.

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