Right Trisectionectomy With “En-Bloc” Resection of Portal Vein for Peri-Hilar Cholangiocarcinoma
Alfredo Guglielmi, Andrea Ruzzenente*, Alessandro Valdegamberi, Tommaso Campagnaro, Calogero Iacono
Department of Surgery, University of Verona Medical School, Verona, Italy
This video shows the clinical case of a patient with peri-hilar cholangiocarcinoma (10 cm) of the right hepatic lobe with portal vein involvement.The patient was a 79 years-old female with no previous history of liver disease. Preoperative liver blood tests showed only increased GGT and CA 19.9 level. FRLV was 43% and ICG-15 test was 8%. The patient underwent to right trisectionectomy with “en-bloc” resection and reconstruction of portal vein bifurcation extended to common bile duct. The surgical specimen confirmed the radicality of surgery and the diagnosis of cholangiocarcinoma with involvement of portal vein bifurcation and of the hilar bile duct, AJCC TNM 7th ed.: pT3 N1 (1/18) M0.
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