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Successful resection of cholangiocellular carcinoma with tumor thrombus in the main trunk of the portal vein
Author(s) -
Sakai Manabu,
Ishikawa Masashi,
Fukuda Yoh,
Miyake Hidenori,
Harada Masamitsu,
Wada Daisuke,
Yogita Shiro,
Tashiro Seiki
Publication year - 1997
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/bf02488983
Subject(s) - medicine , radiology , thrombus , lesion , superior mesenteric vein , bile duct , trunk , carcinoma , portal vein , surgery , pathology , ecology , biology
A space‐occupying lesion in the right hepatic lobe, with dilated peripheral bile ducts, was observed by ultrasonography and computed tomography in a 50‐year‐old man with right upper quadrant abdominal pain. One month later, this lesion evidenced rapid growth and a tumor thrombus, which completely occluded the main trunk and the left primary branch of the portal vein, had developed. The tumor was diagnosed as a cholangiocellular carcinoma with an unusual pattern of intravascular extension. The primary tumor and the portal tumor thrombus were resected via a right hepatic trisegmentectomy combined with resection of the portal vein and extrahepatic bile duct, using a superior mesenteric vein—left femoral vein catheter bypass (SMV—FV bypass). The SMV—FV bypass was found to effectively reduce intraoperative hemorrhage.