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Hepatic S4a + S5 and bile duct resection for gallbladder carcinoma

  • Topics
  • Highly advanced surgery in the hepatobiliary and pancreatic field (Biliary Section)
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Journal of Hepato-Biliary-Pancreatic Sciences

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.

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Authors and Affiliations

  1. Department of General Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan

    Masaru Miyazaki, Hiroaki Shimizu, Masayuki Ohtsuka, Hiroyuki Yoshidome, Atsushi Kato, Hideyuki Yoshitomi, Katsunori Furukawa & Fumio Kimura

Authors
  1. Masaru Miyazaki
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  2. Hiroaki Shimizu
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  3. Masayuki Ohtsuka
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  4. Hiroyuki Yoshidome
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  5. Atsushi Kato
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  6. Hideyuki Yoshitomi
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  7. Katsunori Furukawa
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  8. Fumio Kimura
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Corresponding author

Correspondence to Masaru Miyazaki.

Additional information

This article is based on studies first reported in Highly Advanced Surgery for Hepato-Biliary-Pancreatic Field (in Japanese). Tokyo: Igaku-Shoin, 2010.

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Miyazaki, M., Shimizu, H., Ohtsuka, M. et al. Hepatic S4a + S5 and bile duct resection for gallbladder carcinoma. J Hepatobiliary Pancreat Sci 19, 225–229 (2012). https://doi.org/10.1007/s00534-011-0500-8

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  • DOI: https://doi.org/10.1007/s00534-011-0500-8

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