Extended Left Lobectomy with Total Caudate Lobectomy and Portal Vein and Extrahepatic Bile Duct Resection for Advanced Hilar Cholangiocarcinoma

  • Seiki Tashiro
  • Hidenori Miyake


Carcinoma arising at the confluence of the right and left hepatic ducts is problematic because of the difficulty of resection and reconstruction. The bile duct is located in the right hepatic anterior aspect of the hepatoduodenal ligament, and the right hepatic artery and portal vein run across and behind the proximal bile duct. Therefore, when left-sided resection of the liver for advanced cancer is performed, occasionally the right hepatic artery and/or portal vein are resected in a radical operation. In this patient, the right hepatic artery was found to branch off from the superior mesenteric artery (SMA) by angiography and encasement of the right hepatic artery was not seen.


Portal Vein Hepatic Artery Superior Mesenteric Artery Hepatic Duct 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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