2018 Volume 32 Issue 4 Pages 794-800
A 69-year-old female was noted to have liver dysfunction. Imaging examinations showed tumor occupied in the gallbladder and the bile duct and suggested mobility of the tumor in the bile duct. Intraoperative findings were compatible with tumor thrombus in the distal bile duct. Longitudinal incision was put on the common bile duct due to remove a part of the tumor. She has anomalous insertion of cystic duct into the right hepatic duct. We confirmed that proper incisional line of right hepatic duct was located at the extrahepatic region. Final surgical procedure was cholecystectomy with partial liver resection and resection of the extrahepatic bile duct. Histopathologically, papillary adenocarcinoma of the gallbladder developed through an anomalous insertion of cystic duct to the right hepatic duct and grew expansively in the distal bile duct. Her pathological TNM stage was Stage I. She is alive with no recurrence after the surgery for 5 years.
