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- W2894833576 abstract "Background: The techniques of left hepatic trisectionectomy combined with caudate lobectomy and bile duct resection for hilar-cholangiocarcinoma are not standardized and still challenging method. Methods: Under preoperative diagnosis of hilar cholangiocarcinoma, 13 patients underwent “anatomic” left hepatic trisectionectomy with en bloc resection of the caudate lobe and the extrahepatic bile duct, in which the posterior glissionean pedicle was isolated and taped by extrahepatic glissonean approach. This procedure helps us to understand the root of the future remnant liver region anatomically, therefore we can easily transect liver parenchyma correctly along with the inverted tape that leads the dissection plane to the limiting point of the remnant bile duct. Results: Liver resection was successfully performed in all patients. Vascular resection and reconstruction was performed in 8 patients (PV: 3, PV+HA: 5). One patient died within postoperative 90 days. All patients were histologically diagnosed as having cholangiocarcinoma. The proximal resection margins were cancer-negative in all patients. Conclusions: Extrahepatic glissonean pedicle isolation technique is helpful for performing the left hepatic trisectionectomy with caudate lobectomy. Video: We will show you the scheme of this concept and actual case video." @default.
- W2894833576 created "2018-10-12" @default.
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- W2894833576 date "2018-09-01" @default.
- W2894833576 modified "2023-09-27" @default.
- W2894833576 title "Left hepatic trisectionectomy with caudate lobectomy by extrahepatic glissonean pedicle isolation technique for hilar cholangiocarcinoma" @default.
- W2894833576 doi "https://doi.org/10.1016/j.hpb.2018.06.1366" @default.
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