A video presentation of right hepatectomy with caudate lobe excision with extrahepatic bile duct excision and lymphadenectomy for hilar cholangiocarcinoma

Eosinophilic cholangiopathy is termed as a rare, benign, and self-limiting disease. Moreover, the interference of malignant tumor to diagnosis and the changing process of disease make the accurate treatment proposal challenging. A significant number of patients require surgery for the definitive diagnosis and resolution of symptoms. We put forward a case of eosinophilic cholangiopathy infiltrating the gallbladder and bile duct with bone marrow involved, coupled with peripheral eosinophilia. The patient underwent a successful treatment using laparoscopic cholecystectomy and steroids, instead of extrahepatic bile duct excision with Roux-en-Y hepaticojejunostomy. The patient gets an accurate treatment in a minimally invasive manner. In conclusion, surgery refers to not only a diagnostic methodology but also a treatment. When the bile duct and gallbladder are involved at the same time, and cannot distinguish benign and malignant diseases, laparoscopic cholecystectomy is feasible, the effect is the same, and the symptoms of eosinophilic cholecystitis are relieved.

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Extended Right Hepatectomy with Total Caudate Lobe Resection and Biliary Tree Resection for a Large Colorectal Liver Metastasis Involving both the Right and Left Hepatic Lobes and the Umbilical Fissure: A Case Report

The American Surgeon ◽

10.1177/000313480507100517 ◽

2005 ◽

Vol 71 (5) ◽

pp. 447-449 ◽

Cited By ~ 1

Author(s):

Aljamir D. Chedid ◽

Marcio F. Chedid ◽

Cleber R.P. Kruel ◽

FÁbio M. Girardi ◽

Cleber D.P. Kruel

Keyword(s):

Colorectal Cancer ◽

Bile Duct ◽

Liver Metastasis ◽

Liver Tumors ◽

Hepatic Duct ◽

Early Death ◽

Caudate Lobe ◽

Right Hepatectomy ◽

Left Hepatic Duct ◽

Extended Right Hepatectomy

Very large right-sided liver tumors may grow up to the base of the umbilical fissure and involve the left hepatic duct and can occasionally reach the bile duct confluence. This kind of involvement has often been considered a contraindication to resection. We report a patient who presented with a large hepatic metastasis from colorectal cancer that reached the umbilical fissure and involved the left hepatic duct just above the bile duct confluence. An extended right hepatectomy including complete resection of caudate lobe was performed. We resected the left and common hepatic ducts, as well as both the entire hepatic and the proximal third of common bile duct. A long jejunal limb Roux-en-Y (45 cm) single-layer left intrahepatic hepaticojejunostomy was constructed. She is still well 14 months postoperatively. To the best of our knowledge, this is the first report of such a procedure employed for the treatment of a liver metastasis from colorectal cancer. Extended right hepatectomy including complete caudate lobe resection can be feasible even when the majority of the extrahepatic biliary system needs to be resected. Our approach probably offers the only chance to prevent early death from liver failure in these patients.

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Left and Caudal Lobectomy with Resection of the Extrahepatic Bile Duct and the Right Hepatic Artery for Hilar Cholangiocarcinoma

Operation Atlas of Hepato-Pancreato-Biliary Surgery ◽

10.1007/978-4-431-67026-1_24 ◽

2004 ◽

pp. 230-236

Author(s):

Seiki Tashiro ◽

Hidenori Miyake

Keyword(s):

Bile Duct ◽

Hepatic Artery ◽

Hilar Cholangiocarcinoma ◽

Extrahepatic Bile Duct ◽

Right Hepatic Artery ◽

The Right

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Laparoscopic Right Hepatectomy, Common Bile Duct Excision, and Left Hepaticojejunostomy for Biliary Tract: Intraductal Papillary Mucinous Tumor

Videoscopy ◽

10.1089/vor.2017.0490 ◽

2018 ◽

Vol 28 (3) ◽

Author(s):

Andrew A. Gumbs ◽

Ankit Dhamija ◽

Darren Gorman ◽

Tamir Ben-Menachem

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Biliary Tract ◽

Intraductal Papillary Mucinous Tumor ◽

Mucinous Tumor ◽

Right Hepatectomy ◽

Laparoscopic Right Hepatectomy ◽

Duct Excision

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Colon cancer metastasis mimicking a hilar cholangiocarcinoma: a case report and literature review

Surgical Case Reports ◽

10.1186/s40792-020-00992-w ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Takashi Ofuchi ◽

Hiromitsu Hayashi ◽

Takanobu Yamao ◽

Takaaki Higashi ◽

Toru Takematsu ◽

...

Keyword(s):

Colon Cancer ◽

Bile Duct ◽

Hilar Cholangiocarcinoma ◽

Cancer Metastasis ◽

Past History ◽

Extrahepatic Bile Duct ◽

Metastatic Tumor ◽

Bile Duct Stenosis ◽

Primary Colon Cancer ◽

Primary Colon

Abstract Background An accurate diagnosis of the primary cancer or metastatic tumor is quite important because misdiagnosis may lead to the selection of incorrect adjuvant therapy and worse long-term outcomes after surgery. Here, we present a rare case with an unusual metastatic pattern mimicking a hilar cholangiocarcinoma originated from colon cancer Case presentation A 69-year-old man was referred to our hospital because of an upper bile duct stenosis. He had the past history of the sigmoidectomy for the primary colon cancer and the partial hepatectomy with radiofrequency ablation (RFA) for synchronous liver metastases 4 years ago. After 2 years from the initial operation, he had experienced the local recurrence of post-RFA lesion and had undergone a partial hepatectomy. According to the radiological findings of the bile duct stenosis, we diagnosed a hilar cholangiocarcinoma (Bismuth type II), and then he underwent the extended right hepatectomy with extrahepatic bile duct resection. Histological findings including the immune-histochemical examinations (CK7−, CK20+, CDX2+ and SATB2+) uncovered the metastatic tumor into extrahepatic bile duct originated from the primary colon cancer. Conclusion We experienced an extremely rare case with a colon cancer metastasis mimicking a hilar cholangiocarcinoma. In this case with a past history of colon cancer, an immunohistochemical staining led us to distinguish the primary hilar cholangiocarcinoma and the mimicking tumor.

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