Hepatic artery resection and reconstruction in radical resection of hilar cholangiocarcinoma
10.3760/cma.j.issn.1007-631X.2012.12.001
- VernacularTitle:肝动脉切除重建在肝门部胆管癌根治术中的应用
- Author:
Yi SHAO
;
Sheng YAN
;
Qiyi ZHANG
;
Weilin WANG
;
Min ZHANG
;
Yan SHEN
;
Shusen ZHENG
- Publication Type:Journal Article
- Keywords:
Bile duct neoplasms;
Microsurgery;
Hepatic artery
- From:
Chinese Journal of General Surgery
2012;(12):961-965
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate hepatic artery resection and microsurgical reconstruction in radical resection of Klatskin's tumor.Methods We retrospectively reviewed clinical data of 7 patients with advanced hilar cholangiocarcinoma (Klatskin's tumor) who underwent left hemihepatectomy combined with right hepatic artery resection and microsurgical reconstruction with or without portal vein reconstruction from August 2008 to March 2012.Results Right hepatic artery was reconstructed with end-to-end anastomosis,using the reserved left hepatic artery (n =1),the remanent right hepatic artery (n =1),the hepatic artery proper (n =4) and the gastroduodenal artery (n =1),among those 2 patients underwent concomitant portal vein reconstruction.Post-operative pathology showed middle to low differentiated adenocarcinoma in 2 patients,low differentiated adenocarcinoma in 3 and papillary adenocarcinoma in 2.R0 resection was achieved in 6 patients.There was no post-operative liver failure,biliary-enteric anastomotic leakage or perioperative deaths.Conclusions Hepatic artery resection and microsurgical reconstruction increases the radical resection rate of advanced hilar cholangiocarcinoma and decreases postoperative complications.
