Novel en-bloc resection of locally advanced hilar cholangiocarcinoma: the Rex recess approach

被引：8
|
作者：
Rela, Mohamed [1 ,2 ]
Rajalingam, Rajesh [2 ]
Shanmugam, Vivekanandan [2 ]
O' Sullivan, Adrian [1 ]
Reddy, Mettu S. [2 ]
Heaton, Nigel [1 ]
机构：
[1] Kings Coll Hosp London, Inst Liver Studies, London SE5 8RX, England
[2] Global Hosp & Hlth City, Inst Liver Surg & Transplantat, Madras 600100, Tamil Nadu, India
来源：
HEPATOBILIARY & PANCREATIC DISEASES INTERNATIONAL | 2014年 / 13卷 / 01期
基金：
英国医学研究理事会;
关键词：
cholangiocarcinoma; vascular resection; no-touch technique; Rex recess; PREOPERATIVE BILIARY DRAINAGE; PORTAL-VEIN RESECTION; HEPATECTOMY; CARCINOMA;
D O I：
10.1016/S1499-3872(14)60013-8
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Loco-regional recurrence after potentially curative resection remains a problem in hilar cholangiocarcinoma. Hilar dissection risks local spillage of tumor cells leading to suboptimal disease free survival. We have developed a new technique of radical resection for hilar cholangiocarcinoma based on the distinctive anatomy of the Rex recess of the liver, which has been assessed in two patients with locally advanced hilar cholangiocarcinoma. This technique included a right hepatectomy with en-bloc resection of the hepatoduodenal ligament and portal venous reconstruction to the left portal vein at the Rex recess. Both patients had R0 resection and have been disease-free for 26 and 38 months, respectively.
引用
收藏
页码：93 / 97
页数：5
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