Liver parenchymal sparing surgery for locally advanced gallbladder cancer with extracapsular lymph node invasion

World Journal of Surgical Oncology

Case Report

Masato Narita¹  Iwao Ikai¹  Ryo Matsusue¹  Hiroaki Hata¹  Takashi Yamaguchi¹  Tetsushi Otani¹ 

[1] Department of Surgery, National Hospital Organization, Kyoto Medical Center, 1-1 Mukaihata-cho, Fukakusa, 612-8555, Fushimi-ku, Kyoto, Japan;

关键词: Chemotherapy;    Extended cholecystectomy;    Hepatectomy;    Hepatic artery;    Liver resection;    Morbidity;   

DOI  :  10.1186/1477-7819-12-183

 received in 2014-04-06, accepted in 2014-05-19,  发布年份 2014

来源: Springer

【 摘 要 】

A complete R0 resection is the standard treatment in patients with gallbladder cancer and the only potentially definitive curative therapy. Major hepatectomy, including right or extended right hepatectomy with extrahepatic bile duct resection, would be an option in patients with locally advanced gallbladder cancer, while morbidity and mortality rate are still high. Herein, we report a case of a locally advanced gallbladder cancer invading the right hepatic artery (RHA), common hepatic duct, and transverse colon. This patient was successfully treated with parenchymal sparing surgery without major hepatectomy and achieved R0 resection by means of extended cholecystectomy combined with resection of the transverse colon, extrahepatic bile duct, and RHA. Intrahepatic arterial flow was preserved without reconstruction of the RHA, and the postoperative course was favorable. Liver parenchymal sparing surgery might be an alternative procedure in patients with gallbladder cancer, to minimize the risk of severe morbidity, if R0 resection is possible.

【 授权许可】

CC BY   
© Narita et al.; licensee BioMed Central Ltd. 2014