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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2020; 8(1): 68-75
Published online Jan 6, 2020. doi: 10.12998/wjcc.v8.i1.68
Published online Jan 6, 2020. doi: 10.12998/wjcc.v8.i1.68
Application of multiple Roux-en-Y hepaticojejunostomy reconstruction by formation of bile hilar duct lake in the operation of hilar cholangiocarcinoma
Xiao-Jun Yang, Xiao-Hua Dong, Bing-Qiang Ma, Peng Gao, Department of General Surgery, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
Shi-Yong Chen, Biao Wu, School of Clinical Medicine, Ningxia Medical University, Yinchuan 750000, Ningxia Hui Autonomous Region, China
Yu He, Bao-Long Dong, School of Clinical Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, China
Author contributions: Yang XJ, Dong XH, and Chen SY contributed equally to this work; Yang XJ, Dong XH, Chen SY, and Gao P contributed to the conception and design; Wu B, He Y, and Dong BL acquired the data; Yang XJ, Dong XH, and Chen SY analyzed and interpreted the data; Dong XH, Chen SY, and Ma BQ drafted the article; Gao P critically reviewed the article and approved the final article; All authors reviewed and approved this article to be published.
Supported by National Natural Science Foundation of China , No. 81260326 and No. 81660398 ; and Natural Science Foundation of Gansu Province , No. 17JR5RA034 .
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Gansu Provincial hospital (2019-145).
Informed consent statement: All surgeries were per-formed after the patient or their relatives signed the informed consent form.
Conflict-of-interest statement: All authors declare no conflicts-of-interest related to this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Peng Gao, MD, Chief Physician, Doctor, Professor, Surgeon, Department of General Surgery, Gansu Provincial Hospital, No. 204 Donggang West Road, Lanzhou 730000, Gansu Province, China. yangxjmd@aliyun.com
Received: August 8, 2019
Peer-review started: August 8, 2019
First decision: October 14, 2019
Revised: November 10, 2019
Accepted: November 14, 2019
Article in press: November 14, 2019
Published online: January 6, 2020
Peer-review started: August 8, 2019
First decision: October 14, 2019
Revised: November 10, 2019
Accepted: November 14, 2019
Article in press: November 14, 2019
Published online: January 6, 2020
Core Tip
Core tip: Hilar cholangiocarcinoma accounts for approximately 50% of all cholangiocarcinomas. Until now, radical resection has been the most effective method for the long-term survival of patients with the disease. However, many problems have emerged in the field of hepatobiliary surgery over time, including complex surgical procedures, low resection rates, and postoperative complications. We have adopted the "multiple Roux-en-Y hepaticojejunostomy reconstruction by formation of a bile duct lake" technique in the treatment of hilar cholangiocarcinoma since 2008, and obtained satisfactory short- and long-term results.