Book chapter
Combined Liver Resection and Portal Vein Resection
Hilar Cholangiocarcinoma, pp.237-246
Springer Netherlands
03/08/2013
DOI: 10.1007/978-94-007-6473-6_21
Abstract
Hilar cholangiocarcinoma is a difficult technical challenge for the hepatobiliary surgeon. Achieving negative surgical margins with tumor resection is demanding due to the close proximity of the bile duct bifurcation to the vascular inflow of the liver. As recently as 2001, patients with main portal vein involvement proximal to the bifurcation were considered to be unresectable [1]. However, as portal vein resection was employed in the resection of other hepatobiliary and pancreatic tumors with success, the same principles were extended to hilar cholangiocarcinoma. Although portal vein resection may increase the risks of the resection, this procedure increases the number of patients with potentially resectable disease, and remains the only hope for long-term survival in this uncommon cancer. This chapter will review the indications, surgical technique, and outcomes of portal vein resection for hilar cholangiocarcinoma, as well as a brief review of arterial resection.
Details
- Title: Subtitle
- Combined Liver Resection and Portal Vein Resection
- Creators
- K. Mekeel - University of California, San DiegoA. W. Hemming - University of California, San Diego
- Resource Type
- Book chapter
- Publication Details
- Hilar Cholangiocarcinoma, pp.237-246
- Publisher
- Springer Netherlands; Dordrecht
- DOI
- 10.1007/978-94-007-6473-6_21
- Language
- English
- Date published
- 03/08/2013
- Academic Unit
- Surgery
- Record Identifier
- 9984322928202771
Metrics
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