Preoperative Portal Vein Embolization in Major Hepa- tectomy for Hilar Cholangiocarcinoma : A Case Report
WE ERA WUT IMSAMRAN, M.D., F.R.C.S. T. *, THA WEE RATANACHU-EK, M.D., F.R.C.S.T.*
Affiliation : * Hepatopancreatobiliary and Liver Transplantation Unit, Division of General Surgery, Department of Surgery, Rajavithi Hospital, Bangkok 10400, Thailand. t Presented at the 22nd Annual Congress of The Royal College of Surgeons of Thailand, Pattaya, Thailand on July 18-21, 1997
Abstract We herein, report a 48-year-old Thai man with underlying Child A cirrhosis from chro- nic hepatitis B who complained of right upper abdominal pain. The imaging studies revealed an incomplete obstruction of the hepatic duct confluence with intrahepatic bile duct dilatation, predominantly on the right side. Hilar cholangiocarcinoma Bismuth Type lila was considered to be the diagnosis. Portal embolization of the right portal vein was performed by transileocecal approach, combined liver and bile duct resection with bilio-enteric anastomosis was carried out three weeks later. The postoperative course was uneventful. We believe that portal embo- lization may benefit patients with hilar cholangiocarcinoma by decreasing postoperative liver failure.
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