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Hokkaido University Collection of Scholarly and Academic Papers >
Graduate School of Medicine / Faculty of Medicine >
Peer-reviewed Journal Articles, etc >
Portal vein resection and reconstruction prior to hepatic dissection during right hepatectomy and caudate lobectomy for hepatobiliary cancer.
| Title: | Portal vein resection and reconstruction prior to hepatic dissection during right hepatectomy and caudate lobectomy for hepatobiliary cancer. |
| Authors: | Kondo, S. Browse this author | | Katoh, H. Browse this author | | Hirano, S. Browse this author | | Ambo, Y. Browse this author | | Tanaka, E. Browse this author | | Okushiba, S. Browse this author |
| Issue Date: | Jun-2003 |
| Publisher: | British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. |
| Journal Title: | British Journal of Surgery |
| Volume: | 90 |
| Issue: | 6 |
| Start Page: | 694 |
| End Page: | 697 |
| Publisher DOI: | 10.1002/bjs.4084 |
| PMID: | 12808616 |
| Abstract: | Background:
Hepatobiliary cancer invading the hilar bile duct often involves the portal bifurcation. Portal vein resection and reconstruction is usually performed after completion of the hepatectomy. This retrospective study assessed the safety and usefulness of portal vein reconstruction prior to hepatic dissection in right hepatectomy and caudate lobectomy plus biliary reconstruction, one of the common procedures for radical resection.
Methods:
Clinical characteristics and perioperative results were compared in patients who underwent right hepatectomy and caudate lobectomy plus biliary reconstruction with (ten patients) and without (11 patients) portal reconstruction from September 1998 to March 2002.
Results:
All ten portal vein reconstructions were completed successfully before hepatic dissection; the portal cross-clamp time ranged from 15 to 41 (median 22) min. Blood loss, blood transfusion during the operation, postoperative liver function, morbidity and length of hospital stay were similar in the two groups. No patient suffered postoperative hepatic failure or death.
Conclusion:
This study demonstrates that portal vein reconstruction does not increase the morbidity or mortality associated with right hepatectomy and caudate lobectomy with biliary reconstruction. This approach facilitates portal vein reconstruction for no-touch resection of hepatobiliary cancer invading the hilar bile duct. Copyright © 2003 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. |
| Rights: | Copyright © 2003 John Wiley & Sons, Inc., British Journal of Surgery, Vol. 90-6, pp. 694-697 |
| Relation: | http://www.interscience.wiley.com/ |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/15852 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 近藤 哲
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