Right Trisegmentectomy with Hepatoduodenal Ligamentectomy (Combined En Bloc Resection of the Extrahepatic Bile Duct, the Hepatic Artery, and the Portal Vein) for Advanced Cholangiocellular Carcinoma

  • Seiki Tashiro
  • Hidenori Miyake


Intrahepatic cholangiocellular carcinoma (CCC) is a rare malignancy that arises from the small intrahepatic bile ducts. It is usually an advanced cancer at the time of diagnosis because of the relatively low early detection rate in comparison with the detection rate of hepatocellular carcinoma, which has high risk factors, such as chronic hepatitis B or C virus infection. Another clinocopathologic characteristic of CCC is a tendency to disperse extrahepatically, especially to the lymph nodes. Right trisegmentectomy and partial resection of the caudal lobe and hepatoduodenal ligamentectomy (combined resection of the extrahepatic bile duct, the hepatic artery, and the portal vein) underwent for advanced CCC with strong lymph node metastasis in the hepatoduodenal ligament.


Portal Vein Hepatic Artery Hepatic Vein Superior Mesenteric Artery Extrahepatic Bile Duct 
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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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