Recent advance in the treatment of hilar cholangiocarcinoma: hepatectomy with vascular resection

被引：68

作者：

Miyazaki, Masaru ^{[1
]}

Kimura, Fumio ^{[1
]}

Shimizu, Hiroaki ^{[1
]}

Yoshidome, Hiroyuki ^{[1
]}

Ohtsuka, Masayuki ^{[1
]}

Kato, Atsushi ^{[1
]}

Yoshitomi, Hideyuki ^{[1
]}

Nozawa, Satoshi ^{[1
]}

Furukawa, Katsunori ^{[1
]}

Mitsuhashi, Noboru ^{[1
]}

Takeuchi, Dan ^{[1
]}

Suda, Kousuke ^{[1
]}

Yoshioka, Isaku ^{[1
]}

机构：

[1] Chiba Univ, Grad Sch Med, Dept Gen Surg, Chuo Ku, Chiba 2600856, Japan

来源：

JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY | 2007年 / 14卷 / 05期

关键词：

hilar cholangiocarcinoma; portal vein; hepatic artery; vascular resection;

D O I：

10.1007/s00534-006-1195-0

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Radical surgical resection has been revealed to be the only hope of cure for the patient with hilar cholangiocarcinoma. Therefore, major efforts have been made to increase the resection rate by surgeons employing combined hepatic resection and vascular resection of the portal vein and the hepatic artery. Especially, the technical feasibility and surgical safety of hepatic resection with combined portal vein resection have recently been reported by several authors. On the other hand, there have been few reports of combined hepatic artery resection in hilar cholangiocarcinoma. There are fears that combined vascular resection with extended hepatectomy for hilar cholangiocarcinoma may lead to high surgical morbidity and mortality. Herein, we describe the results of aggressive surgical approaches in our series, and we also review the outcomes of hepatic resection with combined vascular resection in the previously reported literature.

引用

页码：463 / 468

页数：6

共 25 条

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