#Laparoscopic #Left #Hemihepatectomy #Limphadenectomy #Intrahepatic #Cholangiocellular #Carcinoma
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Background: Laparoscopic Liver Resection (LLR) has develop into an important technique for treating malignant liver tumors however there are nonetheless few reviews about LLR for Intrahepatic Cholangiocarcinoma (IHCC).
Strategies: We current a video of a laparoscopic left hemihepatectomy with lymphadenectomy for the therapy of an IHCC.
Case Presentation: A 67 12 months previous asymptomatic man underwent a routine belly ultrasound that exposed a 15×9 mm strong nodular, iso-hyperhecoic lesion, positioned in SIII with dilation of SII/III biliary ducts. An MRI confirmed a 32 x 22 mm lesion in SII/III, with delicate hyperintensity on T2 weighted pictures and robust hypointensity on T1 weighted pictures. After administration of distinction medium the lesion confirmed mild peripheral enhancement on portal and delayed phases and hypointensity on hepatospecific part. Dilation of SII/III bile ducts. No related comorbidities, KPS 100. Lab assessments confirmed regular liver operate and regular Ca 19.9 ranges. A laparoscopic left hemihepatectomy was deliberate.
Outcomes: Operative time was 330 minutes. 4 intermittent cycles of Pringle manouvre have been utilized, no blood transfusions. Postoperative course was uneventful and affected person was discharged on 3d POD. Pathology report: cholangiocellular carcinoma pT1b, No.
Conclusions: In line with latest reviews within the literature and to our expertise laparoscopic surgical procedure for intrahepatic cholangiocellular carcinoma ought to be thought-about possible and secure in chosen sufferers. Oncological long-term outcomes want multicenter randomized research with massive numbers to be validated.
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