Laparoscopic resection of hilar cholangiocarcinoma

• DOI: 10.4174/astr.2015.89.4.228
• Publication Date: 2015-10-06T12:15:05Z
• Authors: Woohyung Lee; Ho-Seong Han; Yoo-Seok Yoon; Jai Young Cho; YoungRok Choi; Hong Kyung Shin; Jae Yool Jang; Hanlim Choi
• Keywords: Resection margin; Lymphadenectomy; Surgical margin

Laparoscopic resection of hilar cholangiocarcinoma is technically challenging because it involves complicated laparoscopic procedures that include hepatoduodenal lymphadenectomy, hemihepatectomy with caudate lobectomy, and hepaticojejunostomy. There are currently very few reports describing this type surgery. Between August 2014 December 2014, 5 patients underwent total or laparoscopic-assisted surgery for cholangiocarcinoma. Two I II radical resection. Three IIIa IIIb extended together lobectomy. The median (range) age, operation time, blood loss, length hospital stay were 63 years (43-76 years), 610 minutes (410-665 minutes), 650 mL (450-1,300 mL), 12 days (9-21 days), respectively. Four had a negative margin, but 1 patient was diagnosed high-grade dysplasia on the proximal margin. tumor size 3.0 cm. One experienced postoperative biliary leakage, which resolved spontaneously. feasible surgical approach in selected