Achieving negative margin in Bismuth III and IV hilar cholangiocarcinoma without major hepatectomy

Authors

  • Roshan Ghimire Assistant Professor, Department of Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal
  • Kapendra Shekhar Amatya Department of Surgical Oncology, Nepal Cancer Hospital, Nepal
  • Prabin Bikram Thapa Professor, Department of Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/jkmc.v9i3.36585

Keywords:

Hilar cholangiocarcinoma; Liver resection; Negative margin

Abstract

Background: Several studies have proposed en bloc resection with major hepatectomy to achieve negative margin in hilar cholangiocarcinoma. These major hepatectomy have morbidity in some subgroups of patients with limited functional hepatic reserve.

Methodology: Patients with Bismuth type III and IV hilar cholangiocarcinoma with underlying early cirrhosis that underwent liver parenchymal preserving bilobar wedge liver resection between July 2017 to June 2020 were included in the study.

Results:  Twelve patients underwent liver parenchymal preserving bilobar wedge liver resection between July 2017 to June 2020. Mean age of the study population was 70.83±3.58 years. Reconstruction of biliary tree was done with intrahepatic cholangiojejunostomy in Roux en Y fashion in multiple segmental hepatic stomas.

Conclusion: Liver parenchymal preserving surgery should be considered in hilar cholangiocarcinoma in selected cases to prevent suspicion increasing morbidity and mortality due to post-operative liver failure.

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Published

2020-09-30

How to Cite

Ghimire, R., Amatya, K. S., & Thapa, P. B. (2020). Achieving negative margin in Bismuth III and IV hilar cholangiocarcinoma without major hepatectomy. Journal of Kathmandu Medical College, 9(3), 161–164. https://doi.org/10.3126/jkmc.v9i3.36585

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Section

Original Research Articles

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