J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1148KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 79(8): 788-791, 1978

Report on the annual meeting

SURGICAL RESECTION OF CARCINOMA AT THE CONFLUENCE OF THE MAJOR HEPATIC DUCTS―A TECHNIQUE OF LEFT HEPATIC LOBECTOMY

1) Department of Surgery, Institute of Clinical Medicine,, The University of Tsukuba
2) Division of Gastroenterology, Chiba Cancer Center Hospital

Iwasaki Y.1), Okamura T.1), Todoroki T.1), Nagoshi K.1), Nishimura A.2)

During the last five years, surgical resection was performed upon 20 patients with carcinoma at the confluence of the right and left hepatic ducts and two patients with hepatic duct carcinoma. Seventeen of the 22 patients underwent resection of the bile duct including the right and left major hepatic ducts, and four patients received left hepatic lobectomy and the remaining one patient had right hepatic lobectomy. Among these 22 patients, eleven patients are still alive after a follow-up period of four to 53 months.
Techniques of left hepatic lobectomy and anastomosis between five branches of the right intrahepatic bile ducts and a Roux-en-Y loop of the jejunum which was brought up to the liver hilum were demonstrated by the film.
Additionally, several problems on reconstruction of the bile ducts were discussed.

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