Total laparoscopic radical resection for Bismuth type Ⅲa hilar cholangiocarcinoma
10.3760/cma.j.issn.1007-631X.2017.08.018
- VernacularTitle:完全腹腔镜下Ⅲa型肝门部胆管癌根治性切除术
- Author:
Chengwu ZHANG
;
Jie LIU
;
Minjie SHANG
;
Weifeng YAO
;
Zhiming HU
;
Defei HONG
- Keywords:
Bile duct neoplasms;
Bile ducts,intrahepatic;
Laparoscopes
- From:
Chinese Journal of General Surgery
2017;32(8):691-693
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and safety of total laparoscopic radical resection for a patient of Bismuth type Ⅲ a hilar cholangiocarcinoma.Methods This patient underwent right hemihepatectomy combined caudate lobectomy,radical regional lymphadenectomy and Roux-en-Y hepaticojejunostomy under total laparoscopic techniques.Preoperatively the volume of future liver remnant estimated by CT scan was 46%,and indocyanine green retention rate at 15 min (ICG R15) was 6.0%.Results The total laparoscopic surgery was carried out successfully with operation time of 540 min and intraoperative blood loss 300 ml,without blood transfusion.The results of pathological examination showed well-differentiated adenocarcinoma of hilar bile duct with negative tumor margins and no regional lymph node metastasis(0/13).The postoperative recovery was uneventful with hospital stay time of 10 days and without any complications.Conclusion At experienced hands,total laparoscopic radical resection of Bismuth type Ⅲ a hilar cholangiocarcinoma is feasible and safe for selected patients.