中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2010年
5期
394-397
,共4页
项灿宏%向昕%王敬%董家鸿
項燦宏%嚮昕%王敬%董傢鴻
항찬굉%향흔%왕경%동가홍
胆管肿瘤,肝门部%门静脉%左三区切除
膽管腫瘤,肝門部%門靜脈%左三區切除
담관종류,간문부%문정맥%좌삼구절제
Biliary neoplasms,portal%Portal vein%Left trisectionectomy
The clinical value of applying portal vein resection and reconstruction in left trisectionectomy for treating advanced hilar cholangiocarcinoma is approved, while it is still a big challenge for clinicians. One female patient suffering from abdominal pain and jaundice received treatment in the General Hospital of PLA in July, 2009. She was prelimiarily diagnosed with Bismuth type Ⅲ a hilar cholangiocarcinoma. A tube was inserted in the left lateral inferior bile duct to carry out percutaneous transhepatic biliary drainage (PTBD). After the anatomic variation of the left bile duct was found, the diagnosis was revised as Bismuth type Ⅳ. A left trisectionectomy was proposed, and another PTBD tube was inserted in the right posterior bile duct.Combined portal vein resection and reconstruction and left trisectionectomy was successfully performed. The postoperation course was uneventful, except for the transient liver dysfunction and biliary-enteric anastomotic leakage.
