Vascular reconstruction in radical resection for hilar cholangiocarcinoma
Journal Title: Journal of Surgery : Concepts & Practice - Year 2023, Vol 28, Issue 2
Abstract
Radical resection is the only option of curative treatment for hilar cholangiocarcinoma. Microscopically negative resection margin of bile duct (R0 resection) is critical for long-term survival of patients. However, both portal vein and hepatic artery invasions from hilar cholangiocarcinoma were often found, the negative resection margin could not be gotten. Combined vascular resection and reconstruction provide a possible way to solve this problem. At present, the clinical value of resection of portal vein and hepatic artery combining with reconstruction has been fully recognized. The technique of reconstruction for both portal vein and hepatic artery combined with the clinical significance, preoperative evaluation of imaging and postoperative complications for hilar cholangiocarcinoma were included in this article.
Authors and Affiliations
Xiangcheng LI, Yananlan CHEN, Changxian LI
Keywords
Related Articles
- EP ID EP750852
- DOI 10.16139/j.1007-9610.2023.02.04
- Views 10
- Downloads 0
Construction of a prognostic Nomogram for patients with incidental gallbladder cancer
[Objective] To construct and validate an effective prognostic nomogram for the patients with incidental gallbladder cancer(IGBC). [Methods] The clinical data of 161 patients with IGBC requiring radical surgery admitted t...
Efficacy of different methods for difficult biliary cannulation in ERCP: systematic review and network meta-analysis
[Objective] To assess the comparative efficacy of different methods for difficult biliary cannulation in endoscopic retrograde cholangio-pancreatography (ERCP) through a network meta-analysis. [Methods] Randomized co...
<![CDATA[A Cohort study of synchronized immersion course to improve teaching effectiveness of clinical practice of surgery for eight-year program students]]>
<![CDATA[Objective To investigate the application of synchronized immersion course (SIC) in teaching of clinical practice of surgery for eight-year program students. Methods A total of 94 eight-year program students in F...
<![CDATA[Diagnosis, treatment and full-process surveillance of early rectal cancer]]>
<![CDATA[Early rectal cancer is defined as any size of rectal epithelial tumor with infiltration depth limited to the mucosa and submucosa, regardless of with or without lymph node metastasis. Local resection is one of t...
Prognostic analysis of breast-conserving surgery or mastectomy in patients with stage Ⅰ-Ⅲ triple-negative breast cancer
[Objective:] To investigate the effect of breast-conserving surgery (BCS) or mastectomy (M) in patients with stage Ⅰ-Ⅲ triple-negative breast cancer (TNBC) on disease free survival (DFS) and overall survival (OS). [Metho...