Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
53
pubmed:dateCreated
2003-10-23
pubmed:abstractText
We describe the technique of mesohepatectomy including caudate lobectomy and resection of hilar bifurcation with biliary reconstruction by 6 hepaticoejunostomies for a Klatskin tumor type IV. This technically demanding approach does not only require careful vascular dissection to maintain blood supply and venous drainage of the two remaining liver parts but it also bears the risks of bilateral biliary reconstruction and of two resection surfaces. The major advantage of mesohepatectomy in comparison to extended hepatectomy is the preservation of functioning liver tissue. Therefore, despite its technical challenges, mesohepatectomy may be an attractive alternative in selected cases of advanced hilar cholangiocarcinoma in which an extended liver resection is contraindicated due to the small amount of remaining liver tissue. In these cases mesohepatectomy reduces the risk for postoperative liver insufficiency but still allows oncologic tumor resection.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0172-6390
pubmed:author
pubmed:issnType
Print
pubmed:volume
50
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1327-9
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:articleTitle
Mesohepatectomy, caudate lobectomy and resection of hilar bifurcation with biliary reconstruction by 6 hepaticojejunostomies for Klatskin tumor.
pubmed:affiliation
Department of General Surgery and Transplantation, University Hospital Essen, Germany. hauke.lang@uni-essen.de
pubmed:publicationType
Journal Article, Case Reports, Research Support, Non-U.S. Gov't