Matoba Daijiro, Yamada Daisaku, Kobayashi Shogo, Sasaki Kazuki, Iwagami Yoshifumi, Tomimaru Yoshito, Noda Takehiro, Takahashi Hidenori, Doki Yuichiro, Eguchi Hidetoshi
Dept. of Gastroenterological Surgery, Graduate School of Medicine, Osaka University.
Gan To Kagaku Ryoho. 2022 Dec;49(13):1467-1469.
A 57-year-old man was diagnosed with an intrahepatic cholangiocarcinoma(ICC)located at segment 4, attached to the hilar bile ducts, with metastasis of the lymph nodes bordering the right hepatic artery. The ICC was unresectable, and chemotherapy with GCS was administered for 7 months. Although the primary tumor site did not change after the chemotherapy, the lymph nodes shrunk slightly and we decided to perform conversion surgery(CS). Radical resection by means of a left hepatectomy was safely performed, and the metastasis of lymph nodes were dissected from the right hepatic artery. Although the surgical indication for CS under chemotherapy for unresectable ICC is controversial, we herein report a successful case.
一名57岁男性被诊断为肝内胆管癌（ICC），位于第4段，附着于肝门胆管，伴有右肝动脉旁淋巴结转移。该ICC无法切除，给予GCS化疗7个月。尽管化疗后原发肿瘤部位未改变，但淋巴结略有缩小，我们决定进行转化手术（CS）。通过左肝切除术成功进行了根治性切除，并从右肝动脉处切除了转移的淋巴结。尽管对于无法切除的ICC在化疗下进行CS的手术指征存在争议，但我们在此报告一例成功病例。
