Journal of Hepato-Biliary-Pancreatic Surgery

, Volume 14, Issue 5, pp 429–433 | Cite as

Treatment strategy for hilar cholangiocarcinoma, with special reference to the limits of ductal resection in right-sided hepatectomies

  • Satoshi Hirano
  • Eiichi Tanaka
  • Toshiaki Shichinohe
  • On Suzuki
  • Kazuaki Hazama
  • Hidehiko Kitagami
  • Keisuke Okamura
  • Tomoyuki Yano
  • Satoshi Kondo
Topics: Recent advanced in treatment of hilar cholangiocarcinoma

Abstract

The surgical anatomy of the hepatic hilar region is characterized by the three-dimensional formation of the branches of the bile duct, portal vein, and hepatic artery. The limit of ductal resection in hepatectomy for hilar cholangiocarcinoma is the most peripheral point where the hepatic ducts can be separated from the vasculature. The limit is different for each type of hepatectomy because the portal vein branches that should be preserved or divided vary with the extent of the hepatectomy, and therefore the limit of separation of the hepatic ducts differs. Surgeons are required to understand the surgical anatomy and to identify the precise area of cancer spread on a preoperative cholangiogram so as to choose the appropriate type of hepatectomy, and to ensure that the remnant ductal margin is cancer-negative.

Key words

Hilar cholangiocarcinoma Limit of ductal resection Hepatectomy Cholangiogram 

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Copyright information

© Springer-Verlag Tokyo 2007

Authors and Affiliations

  • Satoshi Hirano
    • 1
  • Eiichi Tanaka
    • 1
  • Toshiaki Shichinohe
    • 1
  • On Suzuki
    • 1
  • Kazuaki Hazama
    • 1
  • Hidehiko Kitagami
    • 1
  • Keisuke Okamura
    • 1
  • Tomoyuki Yano
    • 1
  • Satoshi Kondo
    • 1
  1. 1.Department of Surgical OncologyHokkaido University Graduate School of MedicineSapporoJapan

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