Surgical indication of hepatopancreatoduodenectomy for biliary cancer

DOI 1 Citations
  • Okamura Keisuke
    Department of Gastroenterological Surgery II, Hokkaido University Graduate School
  • Hirano Satoshi
    Department of Gastroenterological Surgery II, Hokkaido University Graduate School

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Other Title
  • 胆道癌に対する肝（葉切除以上）膵同時切除の実際と手術成績

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Description

Hepatopancreatoduodenectomy (HPD) has been conducted as one of radical surgical procedures to the biliary lesions such as widely spread bile duct cancer and gall bladder cancer with duodenal or pancreatic infiltration. Even in the era in which several surgical techniques have been developed, the operative results following HPD have been reported with disappointedly high morbidity and mortality. Published article described that the long-term survival outcome of the patients who underwent HPD achieved pathological complete (R0) resection for bile duct cancer is relatively fair. Meanwhile, it was also revealed that the patients with gallbladder cancer after HPD survived shorter time than those with bile duct cancer. To achieve expectedly fair survival following HPD, the preoperative image diagnosis ensuring R0 resection is essential. Hepatobiliary surgeons should collect the data of the patients treated with HPD from several institutes to clarify the most suitable candidates for the procedure as an urgent issue.

Journal

  • Tando

    Tando 30 (1), 79-83, 2016

    Japan Biliary Association

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