Cholangiocellular carcinoma--the role of caudate lobe resection and mesohepatectomy
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Cholangiocellular carcinoma--the role of caudate lobe resection and mesohepatectomy. / Malago, Massimo; Frilling, Andrea; Li, Jun; Lang, Hauke; Broelsch, Christoph E.
in: HPB, Jahrgang 10, Nr. 3, 2008, S. 179-82.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Cholangiocellular carcinoma--the role of caudate lobe resection and mesohepatectomy
AU - Malago, Massimo
AU - Frilling, Andrea
AU - Li, Jun
AU - Lang, Hauke
AU - Broelsch, Christoph E
PY - 2008
Y1 - 2008
N2 - BACKGROUND: The surgical treatment of perihilar cholangiocellular carcinoma (CCC) is challenging due to the adjacency of the tumor to the hilar vessels, major hepatic veins, bile ducts, and the inferior vena cava. Additionally, the tumour frequently infiltrates the parenchyma of the caudate lobe or/and invades its bile ducts.CONSENSUS STATEMENTS: Negative margin caudate hepatectomy is rarely feasible. Isolated partial or complete caudate lobe resection is an oncologically inadequate procedure. Extended hepatectomies in combination with caudate lobectomy can provide prolonged survival, even in patients with advanced CCC. Mesohepatectomy is an oncologically adequate procedure for selected patients with CCC and compromised liver function. The procedure is technically demanding; however, it lowers the risk of postoperative liver failure.
AB - BACKGROUND: The surgical treatment of perihilar cholangiocellular carcinoma (CCC) is challenging due to the adjacency of the tumor to the hilar vessels, major hepatic veins, bile ducts, and the inferior vena cava. Additionally, the tumour frequently infiltrates the parenchyma of the caudate lobe or/and invades its bile ducts.CONSENSUS STATEMENTS: Negative margin caudate hepatectomy is rarely feasible. Isolated partial or complete caudate lobe resection is an oncologically inadequate procedure. Extended hepatectomies in combination with caudate lobectomy can provide prolonged survival, even in patients with advanced CCC. Mesohepatectomy is an oncologically adequate procedure for selected patients with CCC and compromised liver function. The procedure is technically demanding; however, it lowers the risk of postoperative liver failure.
KW - Journal Article
U2 - 10.1080/13651820801992500
DO - 10.1080/13651820801992500
M3 - SCORING: Journal article
C2 - 18773050
VL - 10
SP - 179
EP - 182
JO - HPB
JF - HPB
SN - 1365-182X
IS - 3
ER -