Abstract
Left-sided hepatectomy (left hemihepatectomy or left trisectionectomy) extending to the caudate lobe with bile duct resection has been recognized as a standard treatment option for perihilar cholangiocarcinoma of the left-side predominance. From the viewpoint of anatomical factors at the hepatic hilus, left-sided hepatectomy is considered to be a more complicated procedure, requiring greater skill, than right-sided hepatectomy. As there are many anatomical variations of the sectional artery and bile duct in the right liver (remnant side), preoperatively evaluating individual 3-D hilar anatomy is essential for successful surgery.
The surgical procedures consist of 1) regional lymphadenectomy and skeletonization resection of the hepatoduodenal ligament, 2) hepatectomy combined with extrahepatic bile duct resection, and 3) biliary reconstruction.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Shimizu, H., Miyazaki, M. (2016). Left-sided Hepatectomy (Left Hemihepatectomy or Left Trisectionectomy) Extending to the Caudate Lobe with Bile Duct Resection for Perihilar Cholangiocarcinoma. In: CLAVIEN, PA., Sarr, M., Fong, Y., Miyazaki, M. (eds) Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46546-2_72
Download citation
DOI: https://doi.org/10.1007/978-3-662-46546-2_72
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-46545-5
Online ISBN: 978-3-662-46546-2
eBook Packages: MedicineMedicine (R0)