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RIGHT HEPATECTOMY WITH IVC RESECTION FOR INITIALLY UNRESECTABLE INTRAHEPATIC CHOLANGIOCARCINOMA
Hiromichi Ito
*, Sho Kiritani, Atsushi Oba, Yoshihiro Ono, Takafumi Sato, Yosuke Inoue, Yu Takahashi
Cancer Institute Hospital, Division of Hepatobiliary and Pancreastic Srugery, Tokyo, Japan
A 62-year-old man presented with fatigue and fever for weeks, and CT scan showed large liver mass. Biopsy confirmed diagnosis of intrahepatic cholangiocarcinoma, and his disease was staged as cT4N1M1(PALN). The tumor was deemed unresectable, and he received systemic chemotherapy with gemcitabine, cisplatin and durvalumab for 9 months with excellent response. He was then referred to us, and surgical resection was planned. Right hemi-hepatectomy with IVC resection, right adrenalectomy and lymphadenectomy was performed. His post-operative course was uneventful, and the pathological examination revealed no viable cancer cells remining in the liver tumor.
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