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Right Trisegmentectomy and Resection of the Extrahepatic Bile Duct and the Portal Vein with Removal of Tumor Thrombus and Hepaticojejunostomy with the Roux-en-Y Method for Cholangiocellular Carcinoma

  • Seiki Tashiro
  • Hidenori Miyake
Chapter

Abstract

Portal vein thrombus frequently develops in hepatocellular carcinoma (HCC), but is extremely rare in cholangiocellular carcinoma (CCC). If resection of a portal tumor thrombus is possible, portal hypertension caused by portal vein thrombosis can be alleviated and liver function may be improved by the restoration of portal blood flow. We performed right trisegmentectomy and resection of the extra-hepatic bile duct and portal vein with tumor thrombus extending to the main trunk and the opposite side branch of the portal vein using superior mesenteric vein (SMV)—left femoral vein (LFV) bypass.

Keywords

Portal Vein Inferior Vena Cava Superior Mesenteric Vein Tumor Thrombus Extrahepatic Bile Duct 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Reference

  1. 1.
    Nakao A, Nonami T, Harada A, Kasuga T, Takagi H (1990) Portal vein resection with a new antithrombogenic catheter. Surgery 108:913–918PubMedGoogle Scholar

Copyright information

© Springer Japan 2004

Authors and Affiliations

  • Seiki Tashiro
    • 1
  • Hidenori Miyake
    • 1
  1. 1.The University of Tokushima School of MedicineTokushimaJapan

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