I/V/VIII SEGMENT RESECTION COMBINED WITH PORTAL VEIN RECONSTRUCTION FOR BISMUTH TYPE IV HILAR CHOLANGIOCARCINOMA
Xiangcheng Li*
The first affiliated hospital with nanjing medical university, Nanjing, China
A middle-aged male was admitted to the hospital with pruritus and jaundice. Enhanced computed tomography demonstrated the wide extension which involved the portal vein, and the right posterior hepatic artery originates from the mesenteric artery. According to these, I/V/VIII segment resection was scheduled. The portal vein involved was removed. Then end-to-end anastomosis was performed. Finally, biliary enteric anastomosis was completed in an end-to-side way. The scheduled R0 resection had been achieved. Surgical procedures cost 10 hours with 200ml bleeding. The postoperative course was uneventful. Pathological examination revealed that R0 resection was performed.
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