Unknown

Dataset Information

0

Total Laparoscopic Resection of Hilar Cholangiocarcinoma Type 3b: Applying a Parachute Technique for Hepaticojejunostomy.


ABSTRACT:

Background

Laparoscopic liver resection for perihilar cholangiocarcinoma (pCCA) is still in its infancy. The biliary-enteric reconstruction represents one of the most delicate parts of this minimally invasive procedure.

Methods

In this study, a 78-year old woman with perihilar cholangiocarcinoma (pCCA) type 3b underwent a hepaticojejunostomy performed by a parachute technique.

Results

The operation, performed totally by minimally invasive resections, was completed in 386 min, with a blood loss of less than 400 ml and no transfusion requirements. Two intraluminal stents were placed during the hepaticojenunostomy for splinting of the biliary-enteric anastomosis. The patient required prolonged antibiotic treatment for postoperative cholangitis and finally was discharged on postoperative day 15. The histopathologic grading displayed a G 2-3 adenocarcinoma, pT3 pN0, M0, L1, V1, pN1, UICC IIIc R0, and the patient was referred to adjuvant chemotherapy.

Conclusion

Resections of pCCAs, performed totally by minimally invasive techniques, may be feasible and safe for a selected group of patients. With this approach, a running-suture hepaticojejunostomy using the parachute technique represents a worthwhile strategy for biliary-enteric reconstruction.

SUBMITTER: Sucher R 

PROVIDER: S-EPMC7940288 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

altmetric image

Publications

Total Laparoscopic Resection of Hilar Cholangiocarcinoma Type 3b: Applying a Parachute Technique for Hepaticojejunostomy.

Sucher Robert R   Scheuermann Uwe U   Seehofer Daniel D  

Annals of surgical oncology 20200930 4


<h4>Background</h4>Laparoscopic liver resection for perihilar cholangiocarcinoma (pCCA) is still in its infancy. The biliary-enteric reconstruction represents one of the most delicate parts of this minimally invasive procedure.<h4>Methods</h4>In this study, a 78-year old woman with perihilar cholangiocarcinoma (pCCA) type 3b underwent a hepaticojejunostomy performed by a parachute technique.<h4>Results</h4>The operation, performed totally by minimally invasive resections, was completed in 386 mi  ...[more]

Similar Datasets

| S-EPMC4595825 | biostudies-literature
| S-EPMC7060852 | biostudies-literature
| S-EPMC4723880 | biostudies-literature
| S-EPMC2043101 | biostudies-other
| S-EPMC10898632 | biostudies-literature
| S-EPMC9549331 | biostudies-literature
| S-EPMC10393624 | biostudies-literature
| S-EPMC9006332 | biostudies-literature
| S-EPMC6223732 | biostudies-literature
| S-EPMC6639996 | biostudies-literature