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LEFT HEPATIC LOBECTOMY AND RESECTION OF A CARCINOMA INVOLVING THE CONFLUENCE OF THE RIGHT, LEFT, AND COMMON HEPATIC DUCTS
Author(s) -
Mann Arnold
Publication year - 1977
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1977.tb04274.x
Subject(s) - medicine , jaundice , confluence , left hepatic duct , carcinoma , hepatic carcinoma , surgery , hepatectomy , resection , obstructive jaundice , general surgery , radiology , hepatocellular carcinoma , common bile duct , computer science , programming language
This is a report of a single case of carcinoma involving the confluence of the right, left, and common hepatic ducts, treated by left hepatic lobectomy and resection of the tumour. The clinical onset of symptoms with pruritus and steadily deepening jaundice was typical of the condition, as was the difficulty in establishing a diagnosis. Radical treatment for this tumour, which is frequently slow to metastasize, is advocated. The importance of complete filling of the billary tree during operative choledochography is highlighted.