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Right Trisegmentectomy and Resection of the Extrahepatic Bile Duct and the Portal Vein with Removal of Tumor Thrombus and Hepaticojejunostomy with the Roux-en-Y Method for Cholangiocellular Carcinoma

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Operation Atlas of Hepato-Pancreato-Biliary Surgery

Abstract

Portal vein thrombus frequently develops in hepatocellular carcinoma (HCC), but is extremely rare in cholangiocellular carcinoma (CCC). If resection of a portal tumor thrombus is possible, portal hypertension caused by portal vein thrombosis can be alleviated and liver function may be improved by the restoration of portal blood flow. We performed right trisegmentectomy and resection of the extra-hepatic bile duct and portal vein with tumor thrombus extending to the main trunk and the opposite side branch of the portal vein using superior mesenteric vein (SMV)—left femoral vein (LFV) bypass.

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Reference

  1. Nakao A, Nonami T, Harada A, Kasuga T, Takagi H (1990) Portal vein resection with a new antithrombogenic catheter. Surgery 108:913–918

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© 2004 Springer Japan

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Tashiro, S., Miyake, H. (2004). Right Trisegmentectomy and Resection of the Extrahepatic Bile Duct and the Portal Vein with Removal of Tumor Thrombus and Hepaticojejunostomy with the Roux-en-Y Method for Cholangiocellular Carcinoma. In: Tashiro, S., Miyake, H. (eds) Operation Atlas of Hepato-Pancreato-Biliary Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-67026-1_10

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  • DOI: https://doi.org/10.1007/978-4-431-67026-1_10

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-67028-5

  • Online ISBN: 978-4-431-67026-1

  • eBook Packages: Springer Book Archive

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