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논문 기본 정보

자료유형
학술저널
저자정보
Woohyung Lee (Seoul National University Bundang Hospital, Seoul National University College of Medicine) Ho-Seong Han (Seoul National University Bundang Hospital, Seoul National University College of Medicine) Yoo-Seok Yoon (Seoul National University Bundang Hospital, Seoul National University College of Medicine) Jai Young Cho (Seoul National University Bundang Hospital, Seoul National University College of Medicine) YoungRok Choi (Seoul National University Bundang Hospital, Seoul National University College of Medicine) Hong Kyung Shin (Seoul National University Bundang Hospital, Seoul National University College of Medicine) Jae Yool Jang (Seoul National University Bundang Hospital, Seoul National University College of Medicine) Hanlim Choi (Seoul National University Bundang Hospital, Seoul National University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.89 No.4
발행연도
2015.9
수록면
228 - 232 (5page)

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초록· 키워드

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Laparoscopic resection of hilar cholangiocarcinoma is technically challenging because it involves complicated laparoscopic procedures that include laparoscopic hepatoduodenal lymphadenectomy, hemihepatectomy with caudate lobectomy, and hepaticojejunostomy. There are currently very few reports describing this type of surgery. Between August 2014 and December 2014, 5 patients underwent total laparoscopic or laparoscopic-assisted surgery for hilar cholangiocarcinoma. Two patients with type I or II hilar cholangiocarcinoma underwent radical hilar resection. Three patients with type IIIa or IIIb cholangiocarcinoma underwent extended hemihepatectomy together with caudate lobectomy. The median (range) age, operation time, blood loss, and length of hospital stay were 63 years (43?76 years), 610 minutes (410?665 minutes), 650 mL (450?1,300 mL), and 12 days (9?21 days), respectively. Four patients had a negative margin, but 1 patient was diagnosed with high-grade dysplasia on the proximal resection margin. The median tumor size was 3.0 cm. One patient experienced postoperative biliary leakage, which resolved spontaneously. Laparoscopic resection is a feasible surgical approach in selected patients with hilar cholangiocarcinoma.

목차

INTRODUCTION
SURGICAL TECHNIQUE
DISCUSSION
CONCLUSION
REFERENCES

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UCI(KEPA) : I410-ECN-0101-2016-514-002004188