Duct-to-duct biliary reconstruction after radical resection of Bismuth Ⅲ a hilar cholangiocarcinoma

作     者：Wen-Guang Wu Jun Gu Ping Dong Jian-Hua Lu Mao-Lan Li Xiang-Song Wu Jia-Hua Yang Lin Zhang Qi-Chen Ding Hao Weng Qian Ding Ying-Bin Liu 

作者机构：Depatment of General SurgeryXinhua HospitalAffiliated to School of MedicineShanghai Jiaotong University 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2013年第19卷第15期

页      面：2441-2444页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Hilar cholangiocarcinoma Biliary reconstruction Duct-to-duct Radical resection Digestive tract reconstruction Hepaticojejunostomy Bile duct anastomosis 

摘      要：At present, radical resection remains the only effective treatment for patients with hilar cholangiocarcinoma. The surgical approach for R0 resection of hilar cholangiocarcinoma is complex and diverse, but for the biliary reconstruction after resection, almost all surgeons use Roux-en-Y hepaticojejunostomy. A viable alternative to Roux-en-Y reconstruction after radical resection of hilar cholangiocarcinoma has not yet been proposed. We report a case of performing duct-to-duct biliary reconstruction after radical resection of Bismuth Ⅲa hilar cholangiocarcinoma. End-to-end anastomosis between the left hepatic duct and the distal common bile duct was used for the biliary reconstruction, and a singlelayer continuous suture was performed along the bile duct using 5-0 prolene. The patient was discharged favorably without biliary fistula 2 wk later. Evidence for tumor recurrence was not found after an 18 mo follow- up. Performing bile duct end-to-end anastomosis in hilar cholangiocarcinoma can simplify the complex digestive tract reconstruction process.