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DOI: 10.1055/a-0651-0782
Erweiterte Hemihepatektomie rechts mit Hepatikusgabelresektion und Rekonstruktion der Pfortadergabel und der linken Lebervene bei cholangiozellulärem Karzinom
Right Trisectionectomy and Hilar Resection with Resection and Reconstruction of the Portal Vein Bifurcation and Left Hepatic Vein in Cholangiocellular CarcinomaPublication History
Publication Date:
02 August 2018 (online)
Zusammenfassung
Die vollständige Resektion gilt bei Patienten mit cholangiozellulärem Karzinom als Therapie der Wahl. Aufgrund der Tumorausdehnung sind hierbei Resektion und Rekonstruktion vaskulärer Strukturen häufig erforderlich. Dreidimensionale Rekonstruktionen der Schnittbildgebung können in diesen Fällen hilfreich für die Resektionsplanung sein. Das vorliegende Video zeigt eine erweiterte Hemihepatektomie rechts mit Hepatikusgabelresektion mit Resektion und Rekonstruktion der Pfortadergabel und einer von 2 linken Lebervenen bei einem intrahepatischen cholangiozellulären Karzinom.
Abstract
Complete surgical resection of intrahepatic cholangiocellular carcinoma is considered the primary option for curative treatment. With tumour extension, resection and reconstruction of vascular structures can be necessary. Three dimensional planning of surgical resection can be useful in selected cases. The current video shows an extended right sided hemihepatectomy with hilar resection and reconstruction of the left portal vein and one of two branches of the left hepatic vein in a patient with intrahepatic cholangiocarcinoma.
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Literatur
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