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Hepatic S4a + S5 and bile duct resection for gallbladder carcinoma

  • Masaru MiyazakiEmail author
  • Hiroaki Shimizu
  • Masayuki Ohtsuka
  • Hiroyuki Yoshidome
  • Atsushi Kato
  • Hideyuki Yoshitomi
  • Katsunori Furukawa
  • Fumio Kimura
Topics Highly advanced surgery in the hepatobiliary and pancreatic field (Biliary Section)

Abstract

In the surgical treatment of gallbladder cancer, segment 4a + 5 hepatic resection and bile duct resection is usually recommended for T2 and/or T3 gallbladder cancer involving hepatic parenchyma without hepatic biliary confluence. This procedure does not affect liver function excessively, provided there is correct identification of hepatic S4a and S5, the most important aspect of this procedure. In this paper, the technique of hepatic S4a + 5 and bile duct resection is described in detail. This surgical procedure could be a useful option for the surgical treatment of the hepatobiliary pancreatic malignancies. Surgeons should therefore master the surgical techniques for this procedure.

Keywords

Hepatic S4a + S5 resection Hepatic central inferior resection Gallbladder cancer Bile duct resection 

Supplementary material

Supplementary material 1 (MPG 70310 kb)

References

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Copyright information

© Japanese Society of Hepato-Biliary-Pancreatic Surgery and Springer 2012

Authors and Affiliations

  • Masaru Miyazaki
    • 1
    Email author
  • Hiroaki Shimizu
    • 1
  • Masayuki Ohtsuka
    • 1
  • Hiroyuki Yoshidome
    • 1
  • Atsushi Kato
    • 1
  • Hideyuki Yoshitomi
    • 1
  • Katsunori Furukawa
    • 1
  • Fumio Kimura
    • 1
  1. 1.Department of General Surgery, Graduate School of MedicineChiba UniversityChibaJapan

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