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  • Title: Resection of hilar cholangiocarcinoma combined with left hepatectomy and common hepatic arteriectomy without reconstruction.
    Author: Liang G, Wen T, Mi K, Li C, Wang C, Li K, Li C, Tang Y.
    Journal: Hepatogastroenterology; 2012; 59(114):364-5. PubMed ID: 22353499.
    Abstract:
    BACKGROUND/AIMS: To detect the feasibility of using synchronous bile duct, left lobe of liver and common hepatic artery resection without reconstruction to improve the therapeutic efficacy of HC. METHODOLOGY: A total of 19 patients with hilar cholangiocarcinoma undergoing left-sided hepatectomy, hepatic artery resection and right hepatic duct-jejunum anastomosis from June 2005 to May 2010 in our team were included prospectively in this study. RESULTS: One case died from probable sudden myocardial infarction before discharge from hospital. Little bile leakage occurred in one case. No hepatic insufficiency developed in any cases. A follow-up of 6-66 months was applied and 11 cases were still alive at the end. CONCLUSIONS: Hepatic Arteriectomy is viable with lower total bilirubin and the excision weight up to about 30% of the standard liver.
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