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Left hepatic trisectionectomy for hilar cholangiocarcinoma presenting with an aberrant biliary duct of segment 5: a case report

INTRODUCTION: Management of the biliary ducts during liver resection is one of the most important challenges for hepatobiliary surgeons. Here, we report the case of a left hepatic trisectionectomy for hilar cholangiocarcinoma with a rare aberrant biliary duct of segment 5, which, to the best of our...

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Autores principales: Akamatsu, Nobuhisa, Sugawara, Yasuhiko, Komagome, Masahiko, Ishida, Takashi, Shin, Nobuhiro, Cho, Narihiro, Ozawa, Fumiaki, Hashimoto, Daijo
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2923175/
https://www.ncbi.nlm.nih.gov/pubmed/20687961
http://dx.doi.org/10.1186/1752-1947-4-250
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author Akamatsu, Nobuhisa
Sugawara, Yasuhiko
Komagome, Masahiko
Ishida, Takashi
Shin, Nobuhiro
Cho, Narihiro
Ozawa, Fumiaki
Hashimoto, Daijo
author_facet Akamatsu, Nobuhisa
Sugawara, Yasuhiko
Komagome, Masahiko
Ishida, Takashi
Shin, Nobuhiro
Cho, Narihiro
Ozawa, Fumiaki
Hashimoto, Daijo
author_sort Akamatsu, Nobuhisa
collection PubMed
description INTRODUCTION: Management of the biliary ducts during liver resection is one of the most important challenges for hepatobiliary surgeons. Here, we report the case of a left hepatic trisectionectomy for hilar cholangiocarcinoma with a rare aberrant biliary duct of segment 5, which, to the best of our knowledge, has never been reported in previous literature. CASE PRESENTATION: A 56-year-old Asian female initially presented with intrahepatic bile duct dilatation in the left lateral sector, left paramedian sector, and right paramedian sector. Simultaneous cholangiography from a percutaneous transhepatic biliary drainage tube in biliary duct of segment 8 and endoscopic nasobiliary drainage tube in biliary duct of segment 3 revealed drainage of the right lateral sectoral branch into the common hepatic duct and the aberrant drainage of segment 5 into the right lateral sectoral branch. The left hepatic duct, right paramedian sectoral duct, and the confluence of the right lateral sectoral duct were narrowed. Left hepatic trisectionectomy was successfully performed with careful dissection and division of the aberrant biliary duct of segment 5. CONCLUSION: For safe liver resection, it is important to perform a detailed anatomic evaluation of the intrahepatic ducts, both preoperatively and intraoperatively.
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spelling pubmed-29231752010-08-18 Left hepatic trisectionectomy for hilar cholangiocarcinoma presenting with an aberrant biliary duct of segment 5: a case report Akamatsu, Nobuhisa Sugawara, Yasuhiko Komagome, Masahiko Ishida, Takashi Shin, Nobuhiro Cho, Narihiro Ozawa, Fumiaki Hashimoto, Daijo J Med Case Reports Case Report INTRODUCTION: Management of the biliary ducts during liver resection is one of the most important challenges for hepatobiliary surgeons. Here, we report the case of a left hepatic trisectionectomy for hilar cholangiocarcinoma with a rare aberrant biliary duct of segment 5, which, to the best of our knowledge, has never been reported in previous literature. CASE PRESENTATION: A 56-year-old Asian female initially presented with intrahepatic bile duct dilatation in the left lateral sector, left paramedian sector, and right paramedian sector. Simultaneous cholangiography from a percutaneous transhepatic biliary drainage tube in biliary duct of segment 8 and endoscopic nasobiliary drainage tube in biliary duct of segment 3 revealed drainage of the right lateral sectoral branch into the common hepatic duct and the aberrant drainage of segment 5 into the right lateral sectoral branch. The left hepatic duct, right paramedian sectoral duct, and the confluence of the right lateral sectoral duct were narrowed. Left hepatic trisectionectomy was successfully performed with careful dissection and division of the aberrant biliary duct of segment 5. CONCLUSION: For safe liver resection, it is important to perform a detailed anatomic evaluation of the intrahepatic ducts, both preoperatively and intraoperatively. BioMed Central 2010-08-06 /pmc/articles/PMC2923175/ /pubmed/20687961 http://dx.doi.org/10.1186/1752-1947-4-250 Text en Copyright ©2010 Akamatsu et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Akamatsu, Nobuhisa
Sugawara, Yasuhiko
Komagome, Masahiko
Ishida, Takashi
Shin, Nobuhiro
Cho, Narihiro
Ozawa, Fumiaki
Hashimoto, Daijo
Left hepatic trisectionectomy for hilar cholangiocarcinoma presenting with an aberrant biliary duct of segment 5: a case report
title Left hepatic trisectionectomy for hilar cholangiocarcinoma presenting with an aberrant biliary duct of segment 5: a case report
title_full Left hepatic trisectionectomy for hilar cholangiocarcinoma presenting with an aberrant biliary duct of segment 5: a case report
title_fullStr Left hepatic trisectionectomy for hilar cholangiocarcinoma presenting with an aberrant biliary duct of segment 5: a case report
title_full_unstemmed Left hepatic trisectionectomy for hilar cholangiocarcinoma presenting with an aberrant biliary duct of segment 5: a case report
title_short Left hepatic trisectionectomy for hilar cholangiocarcinoma presenting with an aberrant biliary duct of segment 5: a case report
title_sort left hepatic trisectionectomy for hilar cholangiocarcinoma presenting with an aberrant biliary duct of segment 5: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2923175/
https://www.ncbi.nlm.nih.gov/pubmed/20687961
http://dx.doi.org/10.1186/1752-1947-4-250
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