Surgical procedures performed included non-anatomical resection (47%), Left lateral segmentectomy (segment II and III) (29.4%), Right formal hemihepatectomy
(17.6%) and Right extended hemihepatectomy
in one case (5.9%) illustrated in fig-3.
, which I had to say during a story involving Ric having cancer of the cecum, and I didn't know what a cecum was.
Regarding the different types of tumor resection (only bile duct resection or right/left hemihepatectomy
; exploratory laparotomy due to unresectable disease excluded), no significant differences in survival were observed among the three groups.
It was suggested that, if the depth of invasion of GBC to the liver is >2 cm, and lymph node metastases in the rear of the pancreas head (13th groups) invade the descending duodenum, but without metastasis of the abdominal aorta and mesenteric lymph nodes, HPD is feasible on the premise that R0 resection may be achieved by hemihepatectomy
or enlarged hemihepatectomy
combined with PD.
The most frequent indications for laparoscopic liver resection are lesions in segments II-VI, especially for wedge resection, segmentectomy or lateral left-side hemihepatectomy
. Liver segments I, VII, and VIII are traditionally considered inaccessible for laparoscopic approach due to their anatomical position in relation to the other structures.
Variables Odds Ratio Intra- Left atypical liver resection 1 point 1.155 operative Right atypical liver resection 0.947 variables Bilateral atypical liver 2.448 resection Left segmental liver resection 2 points 0.764 Right segmental liver 0.352 resection Left hemihepatectomy
3 points 2.477 Right hemihepatectomy
4 points 0.781 Extended left hepatectomy 5 points 1.114 Left hepatectomy and right 6 points -- atypical liver resection Extended right hepatectomy 1.145 Right hepatectomy and left 7 points 1.034 atypical liver resection Extent of resection (ordinal not determined scale) Extent of resection 1 point 1.084 vs.
Operative procedure Number of patients (%) Simple bile duct resection 24 patients (17.3%) Right hemihepatectomy
37 patients (26.6%) Right trisectionectomy 10 patients (7.2%) Left hemihepatectomy
62 patients (44.6%) Left trisectionectomy 1 patient (0.7%) Central hepatectomy 1 patient (0.7%) Caudate lobectomy 88 patients (63.3%) Portal vein resection 22 patients (15.8%) Hepatic artery resection 4 patients (2.9%) Pancreaticoduodenectomy 1 patient (0.7%) Table 2: Pathology data in 139 patients with curative intent surgery for perihilar cholangiocarcinomas.
On day 15, a right hemihepatectomy
, seven local resections in segments 2, 3, and 4, and ileococeal resection of all macroscopically pathological intestinal and mesenteric tissues were performed, leaving her with 2 stomas.
For formal right or left hemihepatectomy
, early vascular inflow control was used.
Placement of transjugular intrahepatic portosystemic shunt via the left hepatic vein under sonographic guidance in a patient with right hemihepatectomy
. Acta Radiol 2003; 44:363-365.
Kimura et al., "Clinical significance of biliary vascular anatomy of the right liver for hilar cholangiocarcinoma applied to left hemihepatectomy
," Annals of Surgery, vol.
and resection of the primary tumor in the ileum, histopathology of the terminal ileum showed a serotonin-producing, well-differentiated NET.