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EXTENDED RIGHT HEPATECTOMY WITH EXTRAHEPATIC BILE DUCT RESECTION FOR CYSTIC DUCT CANCER
Hiromichi Ito
*, Kosuke Kobayashi, Atsushi Oba, Yoshihiro Ono, Yosuke Inoue, Yu Takahashi
Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan
A 79-year-old woman was referred to us for abnormal gallbladder discovered by abdominal ultrasound in her regular check-up. Our work-up revealed mass in the gallbladder neck and the cystic duct. She was staged as cT3N0M0 cystic duct cancer, and right hepatectomy was recommended due to suspected invasion to the right hepatic artery. After preoperative percutaneous transhepatic portal vein embolization, extended right hepatectomy with extrahepatic bile duct resection was performed. The final histologic evaluation revealed pT3N1(1/11) adenocarcinoma at the cystic duct.
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