Laparoscopic radical resection of type Ⅲ and Ⅳ hilar cholangiocarcinoma: Experience of six patients
10.3760/cma.j.issn.1007-8118.2019.01.011
- VernacularTitle:腹腔镜Ⅲ、Ⅳ型肝门部胆管癌根治术6例治疗经验
- Author:
Xinyu LIU
1
;
Chuang PENG
;
Shayong PENG
;
Ou LI
;
Weimin YI
;
Pingzhou YANG
;
Chao GUO
;
Wei CHENG
;
Sulai LIU
Author Information
1. 湖南省人民医院 湖南师范大学附属第一医院肝胆外科 湖南省人民医院胆道疾病研究室 湖南师范大学重点实验室 湖南省卫计委胆道疾病研究中心 湖南省胆道疾病防治临床医疗技术研究中心
- Keywords:
Laparoscope;
Bile duct neoplasms;
Therapy;
Hepatic portal
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(1):45-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility,safety and surgical technique of treating type Ⅲ and Ⅳ hilar cholangiocarcinoma by laparoscopy.Methods Clinical data and surgical process of 6 patients who underwent laparoscopic radical resection of hilar cholangiocarcinoma in the Hunan Provincial People's Hospital between April 2015 and October 2018 were retrospectively analyzed.The operations were performed by total laparoscopy in all the patients.Surgical procedure included the basic operation type (gallbladder,hilar and common bile duct resection,lymph node dissection of hepatoduodenal ligament),combined with the resectionof liver,caudate lobe,and portal vein resection and reconstruction.The follow-up time ranged from 1 to 42 months.Results The operation time was 540 ～ 660 min,the blood loss was 300 ～ 500 ml.One case of biliary leakage occurred after operation and healed within 2 weeks after drainage.The patients were all discharged succesfully and still alive.Conclusions Laparoscopic radical resection of type Ⅲ and Ⅳ hilar cholangiocarcinoma is safe and feasible under adequate preoperative evaluation,reasonable case selection and rigorous surgical planning.The short-term efficacy of the patients was good.
