Utility of Right Hemihepatectomy with Combined Resection of the Caudate Lobe and Extrahepatic Bile Duct and Postoperative Radiotherapy to Avoid Hepatopancreatoduodenectomy for Cholangiocarcinoma with Extensive Intraductal Extension in an Elderly Patient

Abstract

Hepatopancreatoduodenectomy was introduced for curative resection of cholangiocarcinoma with extensive intraductal extension and has been reported to have a good outcome in patients with R0 resection and negative lymph node metastasis. However, surgical mortality and postoperative complication rates remain high, and guidelines clearly state that patient selection and surgical indication must be determined with due consideration of safety. In this report, we describe a case of cholangiocarcinoma with extensive intraductal extension in an elderly patient who underwent right hemihepatectomy with combined resection of the caudate lobe and extrahepatic bile duct and postoperative radiotherapy to avoid hepatopancreatoduodenectomy, with a good outcome.