J.Jpn. Surg. Soc.. 79(8): 792-796, 1978
Report on the annual meeting
EXTENDED RIGHT HEPATIC LOBECTOMY FOR CARCINOMA OF THE JUNCTION OF THE MAIN HEPATIC DUCTS
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Department of Surgery, Saiseikai Utsunomiya Hospital Akira Umezono, M.D. |
A total of 22 patients with the lesions were treated at our institution over the past 6 year period.
Of these, 19 were found nonresectable and underwent either external or internal biliary drainage.
Only 2 patients out of 19 lived for more than 6 months following such palliative methods of treatment.
These dissatisfactory results of the conventional management prompted us to attempt a more extensive en bloc tumor excision combined with resection of the major hepatic lobe in selected patients.
During the past two years, extended right hepatic lobectomy with radical tumor excision was performed for three patients, two with carcinoma of the upper biliary tract and one with carcinoma of the gallbladder.
One of the patients succumbed to pulmonary insufficiency in the postoperative course.
Of two patients who were discharged from the Hospital, one survived 5 months and died of uncontrollable bleeding from agastric ulcer and the other one is currently alive and well 19 months after the operation.
This procedure may be effective in controlling local spread of the tumor involving the junction of the main ducts affording better chances of survival to certain patients.
The motion picture of extended right hepatic lobectomy performed for a 63-year-old woman was presented at the meeting.
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