Published online Dec 7, 2014. doi: 10.3748/wjg.v20.i45.17260
Revised: July 31, 2014
Accepted: September 12, 2014
Published online: December 7, 2014
Processing time: 177 Days and 16.4 Hours
Some laterally advanced cholangiocarcinomas behave as ductal spread or local invasion, and hepatopancreatoduodenectomy (HPD) may be performed for R0 resection. To date, there have been no reports of laparoscopic HPD (LHPD) in the English literature. We report the first case of LHPD for the resection of a Bismuth IIIa cholangiocarcinoma invading the duodenum. The patient underwent laparoscopic pancreaticoduodenectomy and right hemihepatectomy. Child’s approach was used for the reconstruction. The patient recovered well with bile leakage from the 2nd postoperative day and was discharged on the 16th postoperative day with a drainage tube in place which was removed 2 wk after discharge. Postoperative pathology revealed a well-differentiated cholangiocarcinoma and the margin of liver parenchyma, pancreas and stomach was negative for metastases. The results suggest that LHPD is a feasible and safe procedure when performed in highly specialized centers and in suitable patients with cholangiocarcinoma.
Core tip: This is the first report of laparoscopic hepatopancreatoduodenectomy (LHPD) for cholangiocarcinoma in the English literature. The patient was treated with laparoscopic pancreaticoduodenectomy and right hemihepatectomy. The successful outcome suggests that LHPD is a feasible and safe procedure when performed in highly specialized centers and in suitable patients with cholangiocarcinoma.