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

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• 作者：Masato Narita (4)
  Ryo Matsusue (4)
  Hiroaki Hata (4)
  Takashi Yamaguchi (4)
  Tetsushi Otani (4)
  Iwao Ikai (4)
  
  4. Department of Surgery ; National Hospital Organization ; Kyoto Medical Center ; 1-1 Mukaihata-cho ; Fukakusa ; Fushimi-ku ; Kyoto ; 612-8555 ; Japan
  
• 关键词：Chemotherapy ; Extended cholecystectomy ; Hepatectomy ; Hepatic artery ; Liver resection ; Morbidity
• 刊名：World Journal of Surgical Oncology
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：12
• 期：1
• 全文大小：471 KB
• 参考文献：1. Hueman, MT, Vollmer, CM, Pawlik, TM (2009) Evolving treatment strategies for gallbladder cancer. Ann Surg Oncol 16: pp. 2101-2115 CrossRef
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• 刊物主题：Surgical Oncology;
• 出版者：BioMed Central
• ISSN：1477-7819

文摘

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.