PMID- 33625678
OWN - NLM
STAT- MEDLINE
DCOM- 20211015
LR  - 20211015
IS  - 2038-3312 (Electronic)
IS  - 2038-131X (Linking)
VI  - 73
IP  - 2
DP  - 2021 Apr
TI  - Total upper transversal hepatectomy with outflow reconstruction for advanced 
      mass-forming cholangiocarcinoma.
PG  - 769-773
LID - 10.1007/s13304-020-00946-9 [doi]
AB  - We describe a complex case of extended hepatectomy with venous outflow 
      reconstruction for the treatment of advanced mass-forming cholangiocarcinoma 
      (MFCCC) invading the three main hepatic veins (HVs). A 50-year-old woman who 
      received a diagnosis of MFCCC and judged unresectable, was referred to our 
      hospital. After multidisciplinary team evaluation, the patient underwent 
      abdominal computed tomography, gadoxetic acid-enhanced magnetic resonance 
      imaging, and fluorodeoxyglucose positron emission tomography. The radiological 
      examinations showed a large mass located in S4s-8 and S1, in contact with the 
      right hepatic vein (RHV), the inferior right hepatic vein, the anterior wall of 
      the inferior vena cava (IVC), infiltrating the middle and left hepatic veins 
      (MHV, LHV). Several communicating veins between the RHV, MHV and LHV were 
      detected. The case was further investigated, and the surgical strategy planned by 
      means of using three-dimensional simulation software. A total upper transversal 
      hepatectomy with resection of the main HVs and outflow reconstruction was 
      performed. The outflow of the remnant liver was restored performing a vascular 
      anastomosis between the parenchymal stump of the RHV and the IVC. Meticulous 
      review of pre-operative imaging techniques with three-dimensional simulation of 
      hepatectomy together with advanced use of intra-operative ultrasound allowed us 
      to offer the chance of cure to a patient otherwise considered unresectable.
FAU - Gentile, Damiano
AU  - Gentile D
AD  - Division of Hepatobiliary and General Surgery, Department of Surgery, Humanitas 
      University, Humanitas Clinical and Research Center - IRCCS, Via Manzoni, 56, 
      20089, Rozzano, Milano, Italy.
FAU - Donadon, Matteo
AU  - Donadon M
AD  - Division of Hepatobiliary and General Surgery, Department of Surgery, Humanitas 
      University, Humanitas Clinical and Research Center - IRCCS, Via Manzoni, 56, 
      20089, Rozzano, Milano, Italy.
AD  - Department of Biomedical Science, Humanitas University, Pieve Emanuele, Milan, 
      Italy.
FAU - Civilini, Efrem
AU  - Civilini E
AD  - Department of Biomedical Science, Humanitas University, Pieve Emanuele, Milan, 
      Italy.
AD  - Department of Vascular Surgery, Humanitas Clinical and Research Center - IRCCS, 
      Rozzano, Milan, Italy.
FAU - Torzilli, Guido
AU  - Torzilli G
AUID- ORCID: 0000-0001-5798-5021
AD  - Division of Hepatobiliary and General Surgery, Department of Surgery, Humanitas 
      University, Humanitas Clinical and Research Center - IRCCS, Via Manzoni, 56, 
      20089, Rozzano, Milano, Italy. guido.torzilli@hunimed.eu.
AD  - Department of Biomedical Science, Humanitas University, Pieve Emanuele, Milan, 
      Italy. guido.torzilli@hunimed.eu.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20210224
PL  - Italy
TA  - Updates Surg
JT  - Updates in surgery
JID - 101539818
SB  - IM
MH  - *Bile Duct Neoplasms/diagnostic imaging/surgery
MH  - Bile Ducts, Intrahepatic/diagnostic imaging/surgery
MH  - *Cholangiocarcinoma/diagnostic imaging/surgery
MH  - Female
MH  - Hepatectomy
MH  - Hepatic Veins/diagnostic imaging/surgery
MH  - Humans
MH  - *Liver Neoplasms/diagnostic imaging/surgery
MH  - Middle Aged
MH  - Vena Cava, Inferior/diagnostic imaging/surgery
OTO - NOTNLM
OT  - Cholangiocarcinoma
OT  - Hepatectomy
OT  - Liver neoplasms
OT  - Surgery
OT  - Vascular resection
EDAT- 2021/02/25 06:00
MHDA- 2021/10/16 06:00
CRDT- 2021/02/24 12:14
PHST- 2020/07/03 00:00 [received]
PHST- 2020/12/08 00:00 [accepted]
PHST- 2021/02/25 06:00 [pubmed]
PHST- 2021/10/16 06:00 [medline]
PHST- 2021/02/24 12:14 [entrez]
AID - 10.1007/s13304-020-00946-9 [pii]
AID - 10.1007/s13304-020-00946-9 [doi]
PST - ppublish
SO  - Updates Surg. 2021 Apr;73(2):769-773. doi: 10.1007/s13304-020-00946-9. Epub 2021 
      Feb 24.