Details

Autor(en) / Beteiligte

• Zhang, Miao-Zun
• Xu, Xiao-Wu
• Mou, Yi-Ping
• Yan, Jia-Fei
• Zhu, Yi-Ping
• Zhang, Ren-Chao
• Zhou, Yu-Cheng
• Chen, Ke
• Jin, Wei-Wei
• Matro, Erik
• Ajoodhea, Harsha

Titel

Resection of a cholangiocarcinoma via laparoscopic hepatopancreato- duodenectomy:A case report

Ist Teil von

• World journal of gastroenterology : WJG, 2014-12, Vol.20 (45), p.17260-17264

Ort / Verlag

United States: Baishideng Publishing Group Inc

Erscheinungsjahr

2014

Quelle

MEDLINE

Beschreibungen/Notizen

• Some laterally advanced cholangiocarcinomas behave as ductal spread or local invasion,and hepatopancreatoduodenectomy(HPD)may be performed for R0 resection.To date,there have been no reports of laparoscopic HPD(LHPD)in the English literature.We report the first case of LHPD for the resection of a BismuthⅢa cholangiocarcinoma invading the duodenum.The patient underwent laparoscopic pancreaticoduodenectomy and right hemihepatectomy.Child’s approach was used for the reconstruction.The patient recovered well with bile leakage from the 2nd postoperative day and was discharged on the 16th postoperative day with a drainage tube in place which was removed 2 wk after discharge.Postoperative pathology revealed a well-differentiated cholangiocarcinoma andthe margin of liver parenchyma,pancreas and stomach was negative for metastases.The results suggest that LHPD is a feasible and safe procedure when performed in highly specialized centers and in suitable patients with cholangiocarcinoma.