A resected case of gallbladder cancer by the left hepatectomy, caudate lobectomy combined resection and reconstruction of the right hepatic artery

Abstract

A 66-year-old man was referred to our hospital following detection of a gallbladder tumor at another hospital. Contrast-enhanced computed tomography revealed a tumor in the gallbladder neck with a partially vague border at the right hepatic artery and hepatic parenchyma. The preoperative diagnosis was gallbladder neck cancer, and right hepatic lobectomy and caudate lobectomy were planned. However, there was serious concern of insufficient future remnant liver function. Left hepatic lobectomy including the gallbladder bed, caudate lobectomy, and resection and reconstruction of the right hepatic artery were performed. The operative duration was 1011 min and the amount of bleeding was 642mL. The patient recovered and was discharged 17 days after surgery. Pathological findings demonstrated well-differentiated adenocarcinoma of the gallbladder, pT3aN1M0 Stage IIIB. Follow-up visits up to two years and six months after surgery indicate no recurrence. This operative procedure has rarely been reported for gallbladder cancer, and may be an option when there is concern of insufficient future remnant liver volume.