Radical resection of hilar cholangiocarcinoma with portal vein inflow only

VernacularTitle:仅保留门静脉血供的肝门部胆管癌根治术
Author: Yanfu SUN ; Yi WANG ; Feng XUE ; Keji CHEN ; Feng SHEN ; Mengchao WU
Publication Type:Journal Article
Keywords: Bile duct neoplasms; Hepatic artery; Hepatectomy
From: Chinese Journal of General Surgery 2009;24(7):525-528
CountryChina
Language:Chinese
Abstract: Objective To investigate the indications and methods of retaining only portal vein for the hilar cholangiocarcinoma radical resection to improve the therapeutic efficacy. Methods Six patients with hilar cholangiocarcinoma underwent left hepatectomy and extrahepatic bile duct excision. Tumor invaded hepatic artery was resected and fight hepatic duct-jejunum anastomosis was made during July 2006 to December 2007. Results There was no mortality. Bile leakage developed in one case and was cured by drainage. No liver failure developed postoperatively. All 6 cases were followed up for 10 - 23 months, and all were still alive. Conclusions Retaining only portal vein for the treatment of hilar cholangiocarcinoma radical resection under definite indications is safe.