| Hepatic artery reconstruction first for the treatment of hilar cholangiocarcinoma bismuth type IIIB with contralateral arterial invasion: a novel technical strategy. | |
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MedLine Citation:
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PMID: 22151454 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: En-bloc liver resection with the extrahepatic bile duct is mandatory to obtain tumour-free surgical margins and better long-term outcomes in hilar cholangiocarcinoma (CC). One of the most important criteria for irresectability is local extensive invasion to major vessels. As hilar CC Bismuth type IIIB often requires a major left hepatic resection, the invasion of the right hepatic artery (RHA) usually contraindicates this procedure. METHODS: The authors describe a novel technique that allowed an oncological resection in two patients with hilar CC Bismuth type IIIB and contralateral arterial invasion. Arterial reconstruction between the posterior branch of the RHA and the left hepatic artery (LHA) was performed as the first surgical step. Once arterial vascular flow was restored, a left trisectionectomy with caudate lobe resection and portal vein reconstruction was performed. RESULTS: In both patients an R0 resection was achieved. Both patients made a full recovery and were discharged within 14 days of surgery. Both patients remain free of disease at 18 months. CONCLUSIONS: This new technique allows a R0 resection to be achieved in patients with Bismuth type IIIB hilar CC with contralateral arterial involvement. |
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Authors:
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Eduardo de Santibañes; Victoria Ardiles; Fernando A Alvarez; Juan Pekolj; Claudio Brandi; Axel Beskow |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2011-10-23 |
Journal Detail:
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Title: HPB : the official journal of the International Hepato Pancreato Biliary Association Volume: 14 ISSN: 1477-2574 ISO Abbreviation: HPB (Oxford) Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2011-12-14 Completed Date: 2012-05-01 Revised Date: 2013-02-20 |
Medline Journal Info:
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Nlm Unique ID: 100900921 Medline TA: HPB (Oxford) Country: England |
Other Details:
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Languages: eng Pagination: 67-70 Citation Subset: IM |
Copyright Information:
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© 2011 International Hepato-Pancreato-Biliary Association. |
Affiliation:
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Hospital Italiano de Buenos Aires, General Surgical Service, Argentina. eduardo.desantibanes@hospitalitaliano.org.ar |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Bile Duct Neoplasms / pathology, surgery* Bile Ducts, Intrahepatic* Cholangiocarcinoma / pathology, surgery* Female Follow-Up Studies Hepatic Artery / pathology, surgery* Humans Male Middle Aged Neoplasm Staging Reconstructive Surgical Procedures / methods* Vascular Neoplasms / pathology, surgery* Vascular Surgical Procedures / methods* |
| Comments/Corrections | |
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