Right Trisegmentectomy with Hepatoduodenal Ligamentectomy (Combined En Bloc Resection of the Extrahepatic Bile Duct, the Hepatic Artery, and the Portal Vein) for Advanced Cholangiocellular Carcinoma

2004 ◽  
pp. 98-104
Author(s):  
Seiki Tashiro ◽  
Hidenori Miyake
Keyword(s):  
Bile Duct ◽  
Portal Vein ◽  
Hepatic Artery ◽  
Extrahepatic Bile Duct ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cholangiocellular Carcinoma ◽  
En Bloc

A cholangiocellular carcinoma radically resected by central hepatic bisegmentectomy with en bloc resection of the caudate lobe and extrahepatic bile duct

1995 ◽  
Vol 2 (1) ◽  
pp. 72-76 ◽  
Author(s):  
Masato Nagino ◽  
Yuji Nimura ◽  
Junichi Kamiya ◽  
Takeo Kawamura ◽  
Shunsuke Ohta ◽  
...  
Keyword(s):  
Bile Duct ◽  
Extrahepatic Bile Duct ◽  
En Bloc Resection ◽  
Caudate Lobe ◽  
Bloc Resection ◽  
Cholangiocellular Carcinoma ◽  
En Bloc

scholarly journals Hepatic Artery Embolization prior to En Bloc Resection of an Encased Common Hepatic Artery in Adenocarcinoma of the Head of the Pancreas

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Gregory Sergeant ◽  
Erik Schadde ◽  
Geert Maleux ◽  
Raymond Aerts
Keyword(s):  
Portal Vein ◽  
Hepatic Artery ◽  
Balloon Dilation ◽  
En Bloc Resection ◽  
Common Hepatic Artery ◽  
Pathological Examination ◽  
Periampullary Cancer ◽  
En Bloc ◽  
Head Of The Pancreas ◽  
The Common

A 64-year-old female patient with adenocarcinoma of the head of the pancreas with encasement of the common hepatic artery and portal vein stenosis was reexplored after six cycles of gemcitabine (1000 mg/m2). Prior to surgery, the patient underwent balloon dilation and stenting of the portal vein in addition to successful coil embolisation of the common hepatic artery, proper hepatic artery, and proximal gastroduodenal artery. After embolisation, a pylorus-preserving pancreaticoduodenectomy was performed with resection of the common hepatic artery and portal vein confluens. Pathological examination showed a moderately differentiated pT3N0 (Stage IIa, TNM 7th edition) tumor with negative section margins. We show with this case that in selected cases of periampullary cancer with encasement of the common hepatic artery, it is technically feasible to perform pancreaticoduodenectomy with hepatic artery resection and negative surgical margins. Nevertheless, the oncological benefit of extended arterial resections remains controversial.

Common hepatic artery revascularization using splenic artery bypass after en bloc resection of the celiac axis

Surgery ◽  
2013 ◽  
Vol 154 (5) ◽  
pp. 1139-1141
Author(s):  
Rishi Dave ◽  
Sartaj S. Sanghera ◽  
Gregory S. Cherr ◽  
Neal W. Wilkinson
Keyword(s):  
Hepatic Artery ◽  
Splenic Artery ◽  
Artery Bypass ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Common Hepatic Artery ◽  
Celiac Axis ◽  
En Bloc

Right Trisectionectomy With “en-bloc” Resection of Portal Vein for Peri-Hilar Cholangiocarcinoma

2011 ◽  
Vol 140 (5) ◽  
pp. S-996
Author(s):  
Alfredo Guglielmi ◽  
Andrea Ruzzenente ◽  
Alessandro Valdegamberi ◽  
Tommaso Campagnaro ◽  
Calogero Iacono
Keyword(s):  
Portal Vein ◽  
Hilar Cholangiocarcinoma ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc

scholarly journals Mediastinal herniation of the biliary tract leading to bile duct obstruction following oesophagectomy

2018 ◽  
Vol 100 (8) ◽  
pp. e211-e213
Author(s):  
A Laliotis ◽  
T Hettiarachchi ◽  
F Rashid ◽  
A Hindmarsh ◽  
V Sujendran
Keyword(s):  
Bile Duct ◽  
Surgical Management ◽  
Standard Treatment ◽  
Locally Advanced ◽  
Significant Risk ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
En Bloc ◽  
Abdominal Organs ◽  
Increased Risk

Surgical management of oesophageal and gastro-oesophageal junction malignancies is one of the most challenging situations confronting the surgeon. Attaining a complete circumferential resection margin of lower-third oesophageal and gastro-oesophageal junction locally advanced carcinomas requires en-bloc resection of the hiatus and all the peri-oesophageal tissue and pleura. This results in an increased risk of herniation of the abdominal organs through the enlarged hiatus, which carries significant risk of morbidity and mortality. The incidence of this complication is higher than has been reported. Surgical management of symptomatic hernias is the standard treatment while criteria for managing asymptomatic hernias are less clear. We report a rare case of a late mediastinal herniation of the pancreas and bile duct, leading to obstructive jaundice following oesophagectomy which was treated successfully in our unit.

Extrahepatic right portal vein ligation allows parenchyma-sparing en bloc resection of segments 7, 8 and 4a for liver tumors engaging the right and middle hepatic veins

2015 ◽  
Vol 14 (5) ◽  
pp. 539-542
Author(s):  
Charalampos Farantos ◽  
Nikolaos Arkadopoulos ◽  
Pantelis Vassiliu ◽  
Panagiotis Kokoropoulos ◽  
Nikolaos Economopoulos ◽  
...  
Keyword(s):  
Portal Vein ◽  
Liver Tumors ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Hepatic Veins ◽  
Portal Vein Ligation ◽  
En Bloc ◽  
Parenchyma Sparing ◽  
The Right
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