Pancreas-preserving resection of lower biliary tract adenocarcinoma: A coring-out technique.

ABSTRACT: Surgical resection for distal cholangiocarcinoma is usually carried out using pancreaticoduodenectomy (PD). However, because PD is a complex procedure with a high rate of postoperative complications, the surgical indications should be carefully considered, especially for patients with a decreased performance status, significant comorbidities, and/or anatomical anomalies. If curatively carried out, a less invasive, local resection may be an alternative procedure for such patients. In the current study, we present pancreas-preserving resection of the lower biliary tract in a patient with early-stage distal cholangiocarcinoma. This procedure was selected to avoid PD with arterial reconstruction because of arterial anomalies. After an abdominal exploration, a cholecystectomy was carried out an

SUBMITTER: Nishida Y 

PROVIDER: S-EPMC5881344 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature