Extended Right Hepatic Lobectomy with Total Caudate Lobectomy, Extrahepatic Bile Duct Resection, and Lymphadenectomy for Advanced Hilar Cholangiocarcinoma After Preoperative Right Portal Embolization
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.
KeywordsHepatic Artery Hepatic Duct Portal Vein Embolization Caudate Lobe Common Hepatic Artery
Unable to display preview. Download preview PDF.
- 1.Tashiro S, Tsuji T, Kanematsu K, Kamimoto Y, Hiraoka T, Miyauchi Y (1992) An extended right hepatic lobectomy preserving the upper part of the left medial segment with caudal combined resection for carcinoma in the hepatic duct confluence. In: Takada T (ed) New Front Hepatobiliary Pancreat Surg, Bankok pp 65–68Google Scholar