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.
Similar content being viewed by others
Author information
Authors and Affiliations
Additional information
Received for publication on June 17, 1998; accepted on June 30, 1998
About this article
Cite this article
Maeba, T., Maeta, H., Wakabayashi, H. et al. Modified hepatoduodenal ligamentectomy for advanced carcinoma of the biliary tract: The importance of preservation of the replaced left hepatic artery. J Hep Bil Pancr Surg 5, 297–302 (1998). https://doi.org/10.1007/s005340050049
Issue Date:
DOI: https://doi.org/10.1007/s005340050049