RIGHT HEPATECTOMY WITH PORTAL VEIN RECONSTRUCTION FOR HILAR CHOLANGIOCARCINOMA
Xiangcheng Li*
The first affiliated hospital with nanjing medical university, Nanjing, China
A 67-year-old male patient with upper abdominal discomfort for 2 months and jaundice for 1 month. CT scan demonstrated hilar mass with portal vein invasion. PTCD was performed 10 days ago. This patient was successfully treated with right hepatectomy and caudate lobectomy together with portal vein reconstruction. The portal vein invaded by the tumor was removed and end-to-end anastomosis was performed. Then, the biliary-enteric anastomosis was completed between the left hepatic duct and the jejunum in an end-to-side way. The hospital stayed is 18 days. This patient obtained rapid recovery without severe postoperative complications. Postoperative CT and laboratory examination were normal.
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