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The Hepatic Artery Reconstruction First Approach in Hilar Cholangiocarcinoma Type IIIb

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Abstract

Even though recent advances in liver surgery have led to a more efficient approach to hilar cholangiocarcinoma (HC), resection with curative intent remains a challenge for hepatobiliary surgeons [1]. There is strong evidence to show better survival and long-term outcomes when microscopically tumor-free surgical margins are obtained in these patients [2]. En-bloc resections of liver parenchyma with the extrahepatic bile duct is mandatory to manage tumors with direct hepatic invasion, as well as to accomplish an R0 resection on tumors that frequently extend longitudinally out to involve the hepatic ducts [3–5].

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References

  1. Hemming AW, Reed AI, Fujita S, et al. Surgical management of hilar cholangiocarcinoma. Ann Surg. 2005;241:693–9.

    Article  PubMed  Google Scholar 

  2. Jarnagin WR, Fong Y, DeMatteo RP, et al. Staging, resectability, and outcome in 225 patients with hilar cholangiocarcinoma. Ann Surg. 2001;234:507–17.

    Article  PubMed  CAS  Google Scholar 

  3. Kosuge T, Yamamoto J, Shimada K, et al. Improved surgical results for hilar cholangiocarcinoma with procedures including major hepatic resection. Ann Surg. 1999;230:663–71.

    Article  PubMed  CAS  Google Scholar 

  4. Sano T, Shimada K, Sakamoto Y, et al. One hundred two consecutive hepatobiliary resections for perihilar cholangiocarcinoma with zero mortality. Ann Surg. 2006;244:240–7.

    Article  PubMed  Google Scholar 

  5. Neuhaus P, Jonas S, Settmacher U, et al. Surgical management of proximal bile duct cancer: extended right lobe resection increases resectability and radicality. Langenbecks Arch Surg. 2003;388:194–200.

    Article  PubMed  Google Scholar 

  6. Neuhaus P, Jonas S, Bechstein WO, et al. Extended resections for hilar cholangiocarcinoma. Ann Surg. 1999;230:808–18.

    Article  PubMed  CAS  Google Scholar 

  7. Nagino M, Nimura Y, Nishio H, et al. Hepatectomy with simultaneous resection of the portal vein and hepatic artery for advanced perihilar cholangiocarcinoma: an audit of 50 consecutive cases. Ann Surg. 2010;252:115–23.

    Article  PubMed  Google Scholar 

  8. Miyazaki M, Kato A, Ito H, et al. Combined vascular resection in operative resection for hilar cholangiocarcinoma: does it work or not? Surgery. 2007;141:581–8.

    Article  PubMed  Google Scholar 

  9. Madariaga JR, Iwatsuki S, Todo S, et al. Liver resection for hilar and peripheral cholangiocarcinomas: a study of 62 cases. Ann Surg. 1998;227:70–9.

    Article  PubMed  CAS  Google Scholar 

  10. Gerhards MF, van Gulik TM, de Wit LT, et al. Evaluation of morbidity and mortality after resection for hilar cholangiocarcinoma—a single center experience. Surgery. 2000;127:395–404.

    Article  PubMed  CAS  Google Scholar 

  11. Clary B, Jarnigan W, Pitt H, et al. Hilar cholangiocarcinoma. J Gastrointest Surg. 2004;8:298–302.

    Article  PubMed  Google Scholar 

  12. Wang WL, Tang XF, Yao MY, et al. Safety and efficiency of left hemihepatectomy combined with hepatic artery resection for hilar cholangiocarcinoma with artery infiltration: report of 2 cases. Can J Surg. 2008;51:305–7.

    PubMed  Google Scholar 

  13. Bismuth H, Corlette MB. Intrahepatic cholangioenteric anastomosis in carcinoma of the hilus of the liver. Surg Gynecol Obstet. 1975;140:170–8.

    PubMed  CAS  Google Scholar 

  14. Majno PE, Pretre R, Mentha G, et al. Operative injury to the hepatic artery. Consequences of a biliary-enteric anastomosis and principles for rational management. Arch Surg. 1996;131(2):211–5.

    Article  PubMed  CAS  Google Scholar 

  15. Miyazaki M, Ito H, Nakagawa K, et al. Unilateral hepatic artery reconstruction is unnecessary in biliary tract carcinomas involving lobar hepatic artery: implications of interlobar hepatic artery and its preservation. Hepatogastroenterology. 2000;47:1526–30.

    PubMed  CAS  Google Scholar 

  16. Young AL, Prasad KR, Adair R, et al. Portal vein arterialization as a salvage procedure during left hepatic trisectionectomy for hilar cholangiocarcinoma. J Am Coll Surg. 2008;207:e1–6.

    Article  PubMed  Google Scholar 

  17. Miura T, Hakamada K, Ohata T, et al. Resection of a locally advanced hilar tumor and the hepatic artery after stepwise hepatic arterial embolization: a case report. World J Gastroenterol. 2008;14:3587–90.

    Article  PubMed  Google Scholar 

  18. Yasuda Y, Larsen PN, Ishibashi T, et al. Resection of hilar cholangiocarcinoma with left hepatectomy after pre-operative embolization of the proper hepatic artery. HPB (Oxford). 2010;12:147–52.

    Article  Google Scholar 

  19. Lee SG, Song GW, Hwang S, et al. Surgical treatment of hilar cholangiocarcinoma in the new era: the Asan experience. J Hepatobiliary Pancreat Sci. 2010;17:476–89.

    Article  PubMed  Google Scholar 

  20. Sakamoto Y, Sano T, Shimada K, et al. Clinical significance of reconstruction of the right hepatic artery for biliary malignancy. Langenbecks Arch Surg. 2006;391:203–8.

    Article  PubMed  Google Scholar 

  21. de Santibañes E, Ardiles V, Alvarez FA, et al. Hepatic artery reconstruction first for the treatment of hilar cholangiocarcinoma bismuth type IIIB with contralateral arterial invasion: a novel technical strategy. HPB (Oxford). 2012;14(1):67–70.

    Article  Google Scholar 

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Acknowledgements

We thank Dr. Axel Beskow for the drawings included in this chapter.

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Correspondence to E. de Santibañes MD, PhD .

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de Santibañes, E., Ardiles, V., Alvarez, F.A. (2013). The Hepatic Artery Reconstruction First Approach in Hilar Cholangiocarcinoma Type IIIb. In: Lau, W. (eds) Hilar Cholangiocarcinoma. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6473-6_22

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  • DOI: https://doi.org/10.1007/978-94-007-6473-6_22

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-6472-9

  • Online ISBN: 978-94-007-6473-6

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