Iyomasa S, Nimura Y, Kamiya J, Maeda S, Kondo S, Yasui A, Yamamoto H, Anami Y, Shionoya S, Takayama T
First Department of Surgery, Nagoya University School of Medicine, Japan.
Hepatogastroenterology. 1992 Dec;39(6):570-3.
A case of cholangiocellular carcinoma in the caudate lobe with intraluminal growth in the extrahepatic bile duct is reported. The main tumor in the caudate lobe was detected by computed tomography and angiography, and two intraluminal tumors at the hepatic hilus and at the root of the right posterior segmental duct were well demonstrated by cholangiography and percutaneous transhepatic cholangioscopy. Independent total caudate lobectomy with bile duct resection was performed. Cholangiocellular carcinoma of the liver with intraluminal growth in the extrahepatic bile duct is very rare and has not been reported in the literature. Independent caudate lobe resection requires a rather complicated technique. However, this method has the advantage of reducing to a minimum the hepatic volume to be resected, and is useful for poor-risk patients or for cases with localized carcinoma at the hepatic hilus.
报告一例尾状叶胆管细胞癌伴肝外胆管腔内生长。尾状叶的主要肿瘤通过计算机断层扫描和血管造影检测到，肝门和右后段胆管根部的两个腔内肿瘤通过胆管造影和经皮经肝胆管镜检查得以清晰显示。实施了独立的尾状叶全切除术并切除胆管。肝外胆管腔内生长的肝脏胆管细胞癌非常罕见，文献中未见报道。独立的尾状叶切除术需要相当复杂的技术。然而，这种方法具有将需切除的肝体积减至最小的优点，对高危患者或肝门部局限性癌病例有用。
