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Journal of Hepato-Biliary-Pancreatic Sciences

Published in:

01-05-2012 | Topics

Hepatic S4a + S5 and bile duct resection for gallbladder carcinoma

Authors: Masaru Miyazaki, Hiroaki Shimizu, Masayuki Ohtsuka, Hiroyuki Yoshidome, Atsushi Kato, Hideyuki Yoshitomi, Katsunori Furukawa, Fumio Kimura

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 3/2012

Abstract

In the surgical treatment of gallbladder cancer, segment 4a + 5 hepatic resection and bile duct resection is usually recommended for T2 and/or T3 gallbladder cancer involving hepatic parenchyma without hepatic biliary confluence. This procedure does not affect liver function excessively, provided there is correct identification of hepatic S4a and S5, the most important aspect of this procedure. In this paper, the technique of hepatic S4a + 5 and bile duct resection is described in detail. This surgical procedure could be a useful option for the surgical treatment of the hepatobiliary pancreatic malignancies. Surgeons should therefore master the surgical techniques for this procedure.

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Miyazaki M, Itoh H, Ambiru S, Shimizu H, Togawa A, Gohchi E, et al. Radical surgery for advanced gallbladder carcinoma. Br J Surg. 1996;83:478–81.PubMedCrossRef

Miyazaki M, Ito H, Nakagawa K, Ambiru S, Shimizu H, Okuno A, et al. Does aggressive surgical resection improve the outcome in advanced gallbladder carcinoma? Hepatogastroenterology. 1999;46:2128–32.PubMed

Kondo S, Takada T, Miyazaki M, Miyakawa S, Tsukada K, Nagino M, et al. Guidelines for the management of biliary tract and ampullary carcinomas: surgical treatment. J Hepatobiliary Pancreat Surg. 2008;15:41–54.PubMedCrossRef

Shimizu H, Kimura F, Yoshidome H, Ohtsuka M, Kato A, Yoshitomi H, et al. Aggressive surgical approach for stage IV gallbladder carcinoma based on Japanese Society of Biliary Surgery classification. J Hepatobiliary Pancreat Surg. 2007;14:358–65.PubMedCrossRef

Miyazaki M, Ito H, Nakagawa K, Ambisu S, Shimizu H, Yoshidome H, et al. Unilateral hepatic artery reconstruction is unnecessary in biliary tract carcinomas involving lobar hepatic artery: implications of interlobar hepatic artery and its preservation. Hepatogastroenterology. 2000;47:1526–30.PubMed

Title: Hepatic S4a + S5 and bile duct resection for gallbladder carcinoma
Authors: Masaru Miyazaki
Hiroaki Shimizu
Masayuki Ohtsuka
Hiroyuki Yoshidome
Atsushi Kato
Hideyuki Yoshitomi
Katsunori Furukawa
Fumio Kimura
Publication date: 01-05-2012
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 3/2012
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-011-0500-8

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Hepatic S4a + S5 and bile duct resection for gallbladder carcinoma

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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