Left and Caudal Lobectomy with Resection of the Extrahepatic Bile Duct and the Right Hepatic Artery for Hilar Cholangiocarcinoma

  • Seiki Tashiro
  • Hidenori Miyake


Because the right hepatic duct is short and the right hepatic artery runs just behind the right hepatic duct, tumors are more likely to invade the right hepatic artery. Resection and reconstruction of the right hepatic artery is often required in cases of extended left hepatic lobectomy for advanced hepatic hilar carcinoma that has invaded the right hepatic artery.


Hepatic Artery Hepatic Vein Hepatic Duct Extrahepatic Bile Duct Caudate Lobe 


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  1. 1.
    Tashiro S, Miyake H, Ishikawa M, Fukuda Y, Yagi K, Harada M, Yogita S (1997) Functional assessment of liver for extended hepatic resection in patients with obstructive jaundice. J Hepatobiliary Pancreat Surg 4:263–268CrossRefGoogle Scholar
  2. 2.
    Miyazaki M, Ito H, Kimura F, Shimizu H, Sotokawa A, Otsuka M, Shimizu Y, Yoshitome H, Shimamura F, Okaya T, Wak-abayashi Y, Mitsuhashi N (2002) Vascular resection and reconstruction in the surgical treatment for hilar cholangiocarcinoma: especially hepatic artery and portal vein resection. J Biliary Tract Pancreas 23:45–50 (in Japanese)Google Scholar
  3. 3.
    Neuhaus P, Jonas S, Bechstein WO, Lohmann R, Radke C, Kling N, Wex C, Lobeck H, Hintze R (1999) Extended resection for hilar cholangioma. Ann Surg 230:808–819PubMedCrossRefGoogle 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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