Extended Right Hepatic Lobectomy with Total Caudate Lobectomy, Extrahepatic Bile Duct Resection, and Lymphadenectomy for Advanced Hilar Cholangiocarcinoma After Preoperative Right Portal Embolization

  • Seiki Tashiro
  • Hidenori Miyake


Carcinoma arising at the confluence of the hepatic duct with predominant right hepatic duct involvement often demands extended right hepatic lobectomy combined with caudal lobectomy. To avoid postoperative hepatic failure, we always adopt right portal vein embolization, preserving the upper part of the medial segment (SIVb), and freeing the caudate lobe only from the right side (never mobilizing the lateral segment) for patients who undergo extended right hepatic lobectomy.


Hepatic Artery Hepatic Duct Portal Vein Embolization Caudate Lobe Common Hepatic Artery 
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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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