scholarly journals Puzzle and Challenge in Routine Extrahepatic Bile Duct Resection for Advanced Gallbladder Carcinoma

Gut and Liver ◽  
2020 ◽  
Vol 14 (6) ◽  
pp. 850-851
Author(s):  
Fei Liu ◽  
Fu-Yu Li
Keyword(s):  
Bile Duct ◽  
Gallbladder Carcinoma ◽  
Extrahepatic Bile Duct ◽  
Bile Duct Resection ◽  
Extrahepatic Bile Duct Resection

Hepatectomy of segment 4b and 5 with extrahepatic bile duct resection for pT2 gallbladder carcinoma is valid: a single-institution result

2015 ◽  
Vol 67 (3) ◽  
pp. 265-271 ◽  
Author(s):  
Shunsuke Onoe ◽  
Yuji Kaneoka ◽  
Atsuyuki Maeda ◽  
Yuichi Takayama ◽  
Yasuyuki Fukami ◽  
...  
Keyword(s):  
Bile Duct ◽  
Gallbladder Carcinoma ◽  
Extrahepatic Bile Duct ◽  
Single Institution ◽  
Bile Duct Resection ◽  
Extrahepatic Bile Duct Resection

Combined Extrahepatic Bile Duct Resection for Locally Advanced Gallbladder Carcinoma: Does It Work?

2015 ◽  
Vol 39 (7) ◽  
pp. 1810-1817 ◽  
Author(s):  
Tsuyoshi Igami ◽  
Tomoki Ebata ◽  
Yukihiro Yokoyama ◽  
Gen Sugawara ◽  
Takashi Mizuno ◽  
...  
Keyword(s):  
Bile Duct ◽  
Gallbladder Carcinoma ◽  
Extrahepatic Bile Duct ◽  
Locally Advanced ◽  
Bile Duct Resection ◽  
Extrahepatic Bile Duct Resection

Indication of extrahepatic bile duct resection for gallbladder cancer

2017 ◽  
Vol 403 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Hiroshi Kurahara ◽  
Kosei Maemura ◽  
Yuko Mataki ◽  
Masahiko Sakoda ◽  
Satoshi Iino ◽  
...  
Keyword(s):  
Bile Duct ◽  
Gallbladder Cancer ◽  
Extrahepatic Bile Duct ◽  
Bile Duct Resection ◽  
Extrahepatic Bile Duct Resection

scholarly journals A case with massive hemobilia long-term after internal drainage surgery for congenital biliary dilation

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Shunryo Minezaki ◽  
Takeyuki Misawa ◽  
Makoto Watanabe ◽  
Hideki Takahashi ◽  
Takashi Koenuma ◽  
...  
Keyword(s):  
Bile Duct ◽  
Gastrointestinal Bleeding ◽  
Pathological Condition ◽  
Extrahepatic Bile Duct ◽  
Pathological Examination ◽  
Emergency Setting ◽  
Internal Drainage ◽  
Bile Duct Resection ◽  
Extrahepatic Bile Duct Resection ◽  
Life Threatening

Abstract Background Currently, there is an unwavering consensus that the standard surgery for congenital biliary dilation (CBD) is extrahepatic bile duct resection and choledochojejunostomy. However, decades prior, choledochocyst–gastrointestinal anastomosis without extrahepatic bile duct resection (internal drainage surgery, IDS) was preferred for CBD because of its simplicity. Currently, there is almost no chance of a surgeon encountering a patient who has undergone old-fashioned IDS, which has been completely obsolete due to the risk of carcinogenesis from the remaining bile duct. Moreover, the pathological condition long after IDS is unclear. Herein, we report a case of life-threatening bile duct bleeding as well as carcinoma of the bile duct 62 years after IDS in a patient with CBD. Case presentation An 82-year-old Japanese woman with hemorrhagic shock due to gastrointestinal bleeding was transferred to our hospital. She had a medical history of unspecified surgery for CBD at the age of 20. Based on imaging findings and an understanding of the historical transition of the surgical procedure for CBD, the cause of gastrointestinal bleeding was determined to be rupture of the pseudoaneurysm of the dilated bile duct that remained after IDS. Hemostasis was successfully performed by transcatheter arterial embolization (TAE) in an emergency setting. Then, elective surgery for extrahepatic bile duct resection and choledochojejunostomy was performed to prevent rebleeding. Pathological examination revealed severely and chronically inflamed mucosa of the bile duct. Additionally, cholangiocarcinoma (Tis, N0, M0, pStage 0) was incidentally revealed. Conclusion It has been indicated that not only carcinogenesis, but also a risk of life-threatening bleeding exists due to long-lasting chronic inflammation to the remnant bile duct after IDS for CBD. Additionally, both knowledge of which CBD operation was performed, and an accurate clinical history are important for the diagnosis of hemobilia.

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