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European Surgery

, Volume 51, Issue 1, pp 34–39 | Cite as

An aggressive surgical approach to rare central biliary invasion of colon cancer

  • Bibek Aryal
  • Kota Yoshikawa
  • Teruo KomokataEmail author
  • Hiroto Yasumura
  • Maki Inoue
  • Mamoru Kaieda
  • Yutaka Imoto
case report
  • 17 Downloads

Summary

Background

Central biliary metastasis from colorectal cancer (CRC) is a rare manifestation. Given the rarity of the lesion, cases with central biliary metastasis from CRC pose challenges in identifying the proper treatment strategy.

Methods

We present a case of stage IV CRC with synchronous multiple liver metastases and central biliary invasion. We also conducted a literature search and reviewed the reports on central biliary metastasis of CRC treated by major hepatectomy combined with extrahepatic bile duct resection.

Results

The patient underwent colon resection, partial hepatectomy, and transileocecal portal embolization (TIPE) as the first procedure, which was followed by an extended right hepatectomy and extrahepatic bile duct resection. Adjuvant chemotherapy was introduced, and the patient was doing well with no recurrence at 17 months after the first procedure.

Conclusion

A liberal radical and aggressive resection in a multimodal treatment strategy could offer a favorable outcome in patients with a rare central biliary manifestation of CRC.

Keywords

Central biliary metastasis Colorectal cancer Prognosis Hepatectomy Aggressive surgical approach 

Notes

Conflict of interest

B. Aryal, K. Yoshikawa, T. Komokata, H. Yasumura, M. Inoue, M. Kaieda, and Y. Imoto declare that they have no competing interests.

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • Bibek Aryal
    • 1
    • 2
  • Kota Yoshikawa
    • 1
  • Teruo Komokata
    • 1
    Email author
  • Hiroto Yasumura
    • 1
  • Maki Inoue
    • 1
  • Mamoru Kaieda
    • 1
  • Yutaka Imoto
    • 2
  1. 1.Department of Surgery, Kagoshima Medical CenterNational Hospital OrganizationKagoshimaJapan
  2. 2.Cardiovascular and Gastroenterological Surgery, Graduate School of Medical and Dental SciencesKagoshima UniversityKagoshimaJapan

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