Right trisectionectomy with portal reconstruction for klatskin tumor

Abstract

Abstract Background: Many techniques of right hepatic trisectionectomy (extended right hepatectomy) are now standardized in patients with hepatocellular carcinoma or metastatic tumors, but in case of hilar cholangiocarcinoma are not yet. Materials: We present a 66 years old male, under preoperative diagnosis of hilar cholangiocarcinoma, a patient underwent right hepatic trisectionectomy with previous portal embolization and hepaticojejunostomy. During the procedure a part of portal vein was resected for infiltration and embolization at the first stage. Limph nodes were resected too. Results: In the second stage the extended right hepatectomy was successfully performed, and the patient was discharged from the hospital in good condition. Histologically was diagnosed as having cholangiocarcinoma. The resection margins, proximal and distal, were negative. The lymph nodes were neoplasia-negatives. Conclusions: Extended right hepatectomy with portal vein reconstruction can be used for a longer proximal resection and can offer a better chance of long-term survival in selected patients with locally advanced hilar cholangiocarcinoma.