Surgical Treatment of Carcinoma of the Gallbladder, Analysing Its Modes of Spread

Kasumi, Fujio; Takagi, Kunio; Konishi, Toshiro; Sakamoto, Goi

doi:10.5833/jjgs.9.170

Cited by 10 publications

(8 citation statements)

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“…Some previous reports concluded that lymphatic and vascular spread were important as routes of metastasis to the liver. 2,17,19 However, in our cases, the localization of cancer cell nests in these specific structures within the portal tracts was difficult and uncertain, even with special stains. This mode of spread, therefore, would best be considered generally as "portal tract spread.…”

Section: Discussionmentioning

confidence: 99%

Routes of Hepatic Metastasis of Gallbladder Carcinoma

et al. 1998

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Section: Discussionmentioning

confidence: 99%

Routes of Hepatic Metastasis of Gallbladder Carcinoma

et al. 1998

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“…The first successful clinical application of HPD was reported in 1976 by Kasumi et al,50 who employed extended right hepatic lobectomy with pancreatoduodenectomy for advanced gallbladder cancer involving the duodenum and the paraaortic lymph nodes. The patient survived the operation and died of recurrence of the disease in the 4th postoperative month.…”

Section: Treatment Optionsmentioning

confidence: 99%

Aggressive surgical treatment of hilar cholangiocarcinoma

Nimura

Kamiya

Nagino

et al. 1998

J Hep Bil Pancr Surg

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Recent progress in surgical techniques for and the perioperative management of hilar cholangiocarcinoma has led to improved outcomes for aggressive liver and bile duct resections, which, however, still show considerable morbidity and mortality. In this article, the results of pioneers' attempts in hepatobiliary surgery for difficult hilar cholangiocarcinomas are reviewed. It is recommended that curative hepatobiliary resection should be performed for hilar cholangiocarcinoma, with careful preoperative management of patients complicated with several difficult conditions.

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“…Biliary tract carcinoma is a carcinoma of the alimentary tract for which postoperative long‐term prognosis is extremely poor. For this reason, ultimate radical resection, such as hepatopancreatoduodenectomy (HPD) and hepatoligamentopancreatoduodenectomy (HLPD), are being challenged . However, resectability and curability are now increasing and long‐term survival has been reported in some cases .…”

Section: Introductionmentioning

confidence: 99%

“…For this reason, ultimate radical resection, such as hepatopancreatoduodenectomy (HPD) and hepatoligamentopancreatoduodenectomy (HLPD), are being challenged. [1][2][3][4][5] However, resectability and curability are now increasing and long-term survival has been reported in some cases. [6][7][8][9] The most serious problem of such procedures is a high incidence of postoperative complications, with hospital death observed quite often.…”

Section: Introductionmentioning

confidence: 99%

Modified hepatoduodenal ligamentectomy for advanced carcinoma of the biliary tract: The importance of preservation of the replaced left hepatic artery

Mizutani

Maeta

Wakabayashi

et al. 1998

Journal of Hepato-Biliary-Pancreatic Surgery

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Hepatoduodenal ligamentectomy (ligamentectomy) is the ultimate surgery for biliary tract carcinoma involving perioperative difficulties such as total hepatic ischemia during revascularization of the hepatic artery and the portal vein, patency of the reconstructed hepatic artery, and high incidence of related operative mortality. In the present study, modified ligamentectomies with extended right hepatic lobectomy, including resection of the caudate lobe, were performed on three patients with advanced biliary tract carcinoma in whom the left hepatic artery had been replaced and the original artery was preserved. In all patients, postoperative courses were uneventful: success of the resection was confirmed by histological examination. This procedure enabled en bloc resection of hepatoduodenal ligament with positive cancer invasion to take place. It was carried out safely without concern for the difficulties described above. In our view, ligamentectomy should be performed in all such cases.

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Surgical Treatment of Carcinoma of the Gallbladder, Analysing Its Modes of Spread

Cited by 10 publications

References 0 publications

Routes of Hepatic Metastasis of Gallbladder Carcinoma

Routes of Hepatic Metastasis of Gallbladder Carcinoma

Aggressive surgical treatment of hilar cholangiocarcinoma

Modified hepatoduodenal ligamentectomy for advanced carcinoma of the biliary tract: The importance of preservation of the replaced left hepatic artery

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