中华医学杂志（英文版）2010，Vol.123Issue(22)：3217-3219,3.DOI:10.3760/cma.j.issn.0366-6999.2010.22.008
Effect of arterioportal shunting in radical resection of hilar cholangiocarcinoma
Effect of arterioportal shunting in radical resection of hilar cholangiocarcinoma
CHEN Yong-liang 1HUANG Zhi-qiang 1HUANG Xiao-qiang 1DONG Jia-hong 1DUAN Wei-dong 1LIU Zhi-wei 1ZHANG Xuan 1LIANG Yu-rong 1CHEN Ming-yi1
作者信息
摘要
Abstract
Background The resection and reconstruction of the hepatic artery is often required in radical surgery for hilar cholangiocarcinoma. In this study, we report our experience in performing arterioportal shunting as an alternative for the arterial reconstruction.Methods Four patients with hilar cholangiocarcinoma underwent extended left hepatectomy and caudate Iobectomy combined with en bloc resection of the hepatic artery and arterioportal shunting with restriction of the arterial caliber. The efficacy of arterioportal shunting was assessed by computed tomography angiography (CTA).Results All the four patients recovered uneventfully without any complications. CTA showed a patent shunt and normal liver regeneration. No signs of portal hypertension were found at one year of follow-up.Conclusions Arterioportal shunting with restriction of the arterial caliber appears to be a feasible and safe alternative for the microvascular reconstruction after hepatic artery resection in radical surgery for hilar cholangiocarcinoma.关键词
arterioportal shunting/hilar cholangiocarcinoma/restriction of the arterial caliberKey words
arterioportal shunting/hilar cholangiocarcinoma/restriction of the arterial caliber分类
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CHEN Yong-liang,HUANG Zhi-qiang,HUANG Xiao-qiang,DONG Jia-hong,DUAN Wei-dong,LIU Zhi-wei,ZHANG Xuan,LIANG Yu-rong,CHEN Ming-yi..Effect of arterioportal shunting in radical resection of hilar cholangiocarcinoma[J].中华医学杂志（英文版）,2010,123(22):3217-3219,3.
