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Exact(46)
Tumor and duct resection.
In this case, we chose to perform extrahepatic bile duct resection, which is not commonly used.
We performed an extended left hemi-hepatectomy and caudate lobectomy with extrahepatic bile duct resection.
After the jaundice improved, we planned right hemihepatectomy and extrahepatic bile duct resection.
Therefore, he underwent extrahepatic bile duct resection and choledochojejunostomy with lymph node dissection.
Thus, we considered that complete resection of the tumor would be achieved by hepatectomy with bile duct resection.
Similar(14)
The surgeries for locoregional recurrence included nine hepatectomies with extrahepatic bile duct resections, vessel resections, and PDs, which were challenging and technically demanding surgeries.
Of note, 48 extrahepatic bile duct resections without liver resection were performed for Bismuth type 1 or 2 tumors during the early years of the study cohort.
D'Angelica et al., in their recently published analysis on the effect of the extent of resection on disease-specific survival and perioperative outcomes, demonstrated poor outcomes after overaggressive surgeries such as major hepatectomies and bile duct resections performed when not clinically indicated.
The shortest distance between an involved duct and resection margin was measured microscopically with an ocular micrometer (in millimeters).
High-risk features include the presence of dilated biliary ducts post resection and reconstruction with choledochoduodenostomy and hepatitis.
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