EurekaMag.com logo
+ Site Statistics
References:
52,725,316
Abstracts:
28,411,598
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Extended right hepatic lobectomy left hepatic lobectomy and skeletonization resection for proximal bile duct cancer






World Journal of Surgery 12(1): 52-59

Extended right hepatic lobectomy left hepatic lobectomy and skeletonization resection for proximal bile duct cancer

Tumors in the proximal third of the bile duct are associated with the lowest rates of resectability and poorest survival of tumors in all locations in the duct. Of 25 patients who underwent resection for tumors located proximally, 3 had extended right hepatic lobectomy, 6 had left hepatic lobectomy, and 16 had skeletonization resection. The operative mortality rate was 4% overall and 0 for patients undergoing hepatic resection. Actuarial survival at 1, 3, and 5 years was 84%, 44%, and 35%, respectively, with almost all patients dying with disease. Survival was longer for patients who had curative resection than for those who had palliative resection. Survival was longer after hepatic lobectomy than after skeletonization resection but was not statistically significant. Survival for the 25 patients who underwent resection compared favorably with the survival of 131 patients treated by strictly palliative procedures, and the quality of life for patients with resection was also improved. We conclude that aggressive resection for cure is the procedure of choice in selected patients with proximal bile duct cancer, but that it must be performed with low operative mortality. Current patient selection and operative techniques are described.

Accession: 005432668

PMID: 2449770

DOI: 10.1007/bf01658486

Download PDF Full Text: Extended right hepatic lobectomy left hepatic lobectomy and skeletonization resection for proximal bile duct cancer



Related references

Extended left hepatic lobectomy for hepatic hilar bile duct cancer: a novel surgical procedure in which the right hepatic duct is transected before the hepatoduodenal ligament is skeletonized. Digestive Surgery 26(1): 15-19, 2009

Mixed hepatocellular carcinoma and cholangiocarcinoma treated by extended left hepatic lobectomy with resection of the right hepatic vein and preservation of the inferior right hepatic vein after hepatic arterial infusion chemotherapy. Hepato-Gastroenterology 45(21): 812-815, 1998

Synchronous sigmoid and superior rectal resection and left hepatic lobectomy extended to Spiegel lobe for a sigmoid cancer with hepatic metastasis. Case report. Revista Medico-Chirurgicala A Societatii de Medici Si Naturalisti Din Iasi 108(3): 635-639, 2005

Intra-Hepatic Cystadenoma Of Bile Duct Origin, With Malignant Alteration. Report Of A Case, Treated With Total Left Hepatic Lobectomy. Military Medicine 130: 218-224, 1965

Successful management of locally advanced hilar cholangiocarcinoma: Surgical procedure for extended left hepatic lobectomy coupled by resection/reconstruction of the right hepatic artery. Tumor Research 41: 77-81, 2006

Efficacy of only left side approach in a case of unsuccessful reconstruction of the right hepatic artery after left hepatic lobectomy with caudal lobectomy. Hepato-Gastroenterology 51(56): 372-374, 2004

Rupture of the right hepatic artery after left lobectomy of the liver in patients with bile duct carcinoma. Acta Medica Nagasakiensia 42(3-4): 54-57, 1997

Right hepatic lobectomy for recurrent cholangitis after bile duct and hepatic artery injury during laparoscopic cholecystectomy: report of a case. Hepato-Gastroenterology 46(28): 2296-2298, 1999

Right hepatic lobectomy for recurrent cholangitis after combined bile duct and right hepatic artery injury during laparoscopic cholecystectomy: a report of two cases. Langenbeck's Archives of Surgery 387(3-4): 183-187, 2002

Left hepatic lobectomy and resection of a carcinoma involving the confluence of the right, left, and common hepatic ducts. Australian and New Zealand Journal of Surgery 47(2): 226-228, 1977