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Society for Surgery of the Alimentary Tract

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Hiromichi Ito*, Yu Takahashi, Yoshihiro Ono, Takafumi Sato, Yoshihiro Mise, Yosuke Inoue, Akio Saiura
Department of HPB surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan

75-year-old man presented with painless jaundice and work-up revealed extensive extrahepatic bile duct stricture as well as near-obstructive sigmoid colon cancer. Biliary stent was placed, and bile cytology confirmed the diagnosis of cholangiocarcinoma. Uncomplicated laparoscopic sigmoid colectomy was performed 6 weeks prior and the definitive resection for cholangiocarcinoma was planned. Because of the extensive longitudinal spread of the tumor, left hepato-pancreaticoduodenectomy (HPD) was deemed necessary to achieved R0 resection. HPD was performed uneventfully with blood loss of 1160 cc without need for transfusion and his postoperative course was uncomplicated.

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