Abstract
A 58-year-old woman was admitted to our hospital with complains of general fatigue and jaundice. US and CT revealed a mass at the bile duct of the hepatic hilum and atrophy of the left lobe of the liver. Hepatic arteriography demonstrated obstruction of the left branch of the portal vein. Left hemihepatectomy and caudate lobe lobectomy with resection and reconstruction of the portal vein was performed. The tumor, measuring 1.8×1.5 cm, was located in Blsr and diagnosed histologically as moderately differentiated adenocarcinoma invaded to the portal vein (vs2) and hepatic parenchyma (hinf2).
She is alive with no recurrence 27 months after the operation.
In this paper, the importance of resection of vessels a t the porta hepatis was discussed in the bile duct carcinoma of the hepatic hilum to get a better surgical results.
