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KMID : 0614619930250051078
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Korean Journal of Gastroenterology
1993 Volume.25 No. 5 p.1078 ~ p.1083
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A Case of Combined Liver Resection and Vascular Reconstruction for Carcinoma of Hepatic Hilus
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이승규
민병철/최건무/김명환/이성구/이영상/민영일/성규보/이문규
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Abstract
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Although carcinoma of hepatic hilus is generally a slow-growing tumor, the results of treatment continue to be poor, mainly, because of the low resectability rates.
A case of resected carcinoma of hepatic hilus with portal vein bifurcation and proper hepatic artery invasion is presented.
Preoperatively 3 separate percutaneous transhepatic biliary drainage was made to right anterior, right posterior segment and left lobe of the liver to control cholangitis and alleviate jaundice.
Cu(?)ative surgery, which included extended right hepatic lobectomy with total caudate lobectomy. And combined resection of hepatoduodenal ligament and regional lymphatic tissue was performed. While an autogenous external iliae vein was
interposed
between root of portal vein trunk and ubilical portion of left portal vein.
The use of hepatectomy with combined resection or portal vein and/or hepatic artery using vascular reconstruction allows curative surgery in the treatment of advanced carcinoma of the hepatic hilus which was previously thought to be inoperable.
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KEYWORD
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