Wu Bo, Bai Yang, Yu Shi'an
Department of Hepatobiliary and Pancreatic Surgery, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang 321099, P.R. China.
Department of Surgery, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P.R. China.
Oncol Lett. 2023 Aug 31;26(4):449. doi: 10.3892/ol.2023.14036. eCollection 2023 Oct.
Laparoscopic hepatopancreatoduodenectomy (LHPD) is a complex surgical procedure with high rates of complications and mortality and is performed in a limited number of medical centers. The present study reports a case of a synchronous primary malignant tumor of the left hepatic common bile ducts. A 63-year-old male was admitted to Affiliated Jinhua Hospital, Zhejiang University School of Medicine (Jinhua, China) with a 1 week history of right upper abdominal distension and pain associated with yellow sclera. Preoperative CT and MRI imaging demonstrated a synchronous primary malignant tumor of the left hepatic and common bile ducts; therefore, laparoscopic left hemihepatectomy and pancreaticoduodenectomy were performed. There was no biliary or pancreatic leakage following the operation and the patient was discharged 16 days later. Postoperative pathology verified that the synchronous primary cholangiocarcinoma originated in the left hepatic and common bile ducts. Therefore, LHPD for synchronous primary cholangiocarcinoma may be a safe and feasible treatment for this condition.
腹腔镜肝胰十二指肠切除术（LHPD）是一种复杂的外科手术，并发症发生率和死亡率较高，仅在少数医疗中心开展。本研究报告了一例左肝肝总管同步原发性恶性肿瘤的病例。一名63岁男性因右上腹腹胀和疼痛伴巩膜黄染1周入住浙江大学医学院附属金华医院（中国金华）。术前CT和MRI成像显示左肝和肝总管同步原发性恶性肿瘤；因此，实施了腹腔镜左半肝切除术和胰十二指肠切除术。术后未发生胆漏或胰漏，患者于16天后出院。术后病理证实同步原发性胆管癌起源于左肝和肝总管。因此，LHPD治疗同步原发性胆管癌可能是一种安全可行的治疗方法。
