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

[Abstract] [Full Text PDF] （in Japanese / 2300KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 87(9): 1094-1097, 1986

Report on the annual meeting

SURGICAL PROBLEMS OF CARCINOMA OF THE HEPATIC HILUM IN VIEW OF THE EXTENT OF CANCER IN THE CAUDATE BRANCHES

The First Department of Surgery, Nagoya University School of Medicine, Nagoya, Japan

Yuji Nimura, Naokazu Hayakawa, Hiroshi Hasegawa, Junichi Kamiya, Hiroshi Yamase, Hisashi Kondo, Shigehiko Shionoya

To confirm the rationale of caudate lobe resection for carcinoma of the hepatic holum, histopathological studies of forty resected cases were performed, in which localized hilar carcinoma (15 cases), widely spreading bile duct carcinoma (10 cases), hilar type cholangiocarcinoma (7 cases) and gallbladder carcinoma involving the hepatic hilum (8 cases) are included.
Hepatectomy was perfomed in 33 cases and 24 cases of total caudate lobectomy were also carried out in 29 cases of caudate lobectomy. Cancer was found in the caudate branches in 23 cases in which local recurrence has not been experienced. Remaining tumor at the surgical margin was found in 3 cases of subtotal or hemicaudate lobectomy. Caudate lobe was not resected in 11 cases. In 4 cases out of them, cancer was found around the proximal cut end of the bile duct.
A suitable hepatic segmentectomy with caudate lobectomy should be applied for carcinoma of the hepatic hilum.

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