ISSN:
1436-0691
Keywords:
Key words: biliary tract carcinoma
;
hepatoduodenal ligamentectomy
;
replaced left hepatic artery
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract: Hepatoduodenal ligamentectomy (ligamentectomy) is the ultimate surgery for biliary tract carcinoma involving perioperative difficulties such as total hepatic ischemia during revascularization of the hepatic artery and the portal vein, patency of the reconstructed hepatic artery, and high incidence of related operative mortality. In the present study, modified ligamentectomies with extended right hepatic lobectomy, including resection of the caudate lobe, were performed on three patients with advanced biliary tract carcinoma in whom the left hepatic artery had been replaced and the original artery was preserved. In all patients, postoperative courses were uneventful: success of the resection was confirmed by histological examination. This procedure enabled en bloc resection of hepatoduodenal ligament with positive cancer invasion to take place. It was carried out safely without concern for the difficulties described above. In our view, ligamentectomy should be performed in all such cases.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s005340050049
Permalink
