Situs inversus total of laparoscopic radical treatment of hilar cholangiocarcinoma combined with portal vein resection and reconstruction

doi:10.3877/cma.j.issn.1674-6899.2025.01.011

Abstract

Abstract:

Objective

To investigate the feasibility of laparoscopic radical treatment of hilar cholangiocarcinoma combined with portal vein resection and reconstruction in patients with situs inversus totalis （SIT）.

Methods

We retrospectively analyzed the clinical data of a patient with situs inversus totalis with type Ⅲb hilar cholangiocarcinoma invadede the main portal vein was completed in Nov. 2024 in the Department of Hepatobiliary Surgery， the First Hospital of Hebei Medical University.

Results

The surgical process was smooth.The patient's total operation time was 7 h， including vascular anastomosis for 20 min，and intraoperative bleeding was about 200 ml.After operation the patient was transferred to ICU on the day of operation， and then transferred to the general ward in the next day. The enhanced CT of the epigastric abdomen on the 5th and 7th days after operation showed that the portal vein flow was smooth，no stenosis and thrombus were seen， and the patient was discharged from the hospital on the 14th day after operation.

Conclusions

Laparoscopic radical treatment for type Ⅲb hilar cholangiocarcinoma combined with portal vein resection and reconstruction in patients has a certain degree of safty and feasibility.

Key words: Laparoscopy, Hilar cholangiocarcinoma, Situs inversus totalis, Portal vein resection and reconstruction

Ang Li, Fuchao Shang, Xin Shi, chen Xu, Fengshan Li. Situs inversus total of laparoscopic radical treatment of hilar cholangiocarcinoma combined with portal vein resection and reconstruction[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2025, 18(01): 62-64.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2025.01.011

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2025/V18/I01/62

Figures/Tables 4

References 10

1	Izpisúa Belmonte JC. How the body tells left from right［J］. Sci Am，1999，280（6）：46-51.
2	Ilyas SI， Khan SA， Hallemeier CL， et al. Cholangiocarcinomaevolving concepts and therapeutic strategies［J］. Nat Rev Clin Oncol. 2018，15（2）：95-111.
3	杨刚，刘学民，张谞峰，等. 腹腔镜肝门部胆管癌根治性切除术的临床疗效分析［J］. 中华肝胆外科杂志，2024，30（10）：761-765.
4	Boskovski MT， Yuan S， Pedersen NB， et al. The heterotaxy gene GALNT11 glycosylates Notch to orchestrate cilia type and laterality［J］. Nature，2013，504（7480）：456-459.
5	Iusco DR， Sacco S， Ismail I， et al. Three-trocar laparoscopic cholecystectomy in patient with situs viscerum inversus totalis： case report and review of the literature［J］. G Chir，2012，33（1-2）：10-3.
6	陆才德，吴胜东，房炯泽，等. 门静脉切除重建在肝门部胆管癌手术切除中的应用分析［J］. 中华肝胆外科杂志，2022，28（5）：356-361.
7	Nagino M， Ebata T， Yokoyama Y， et al. Evolution of surgical treatment for perihilar cholangiocarcinoma： a single-center 34-year review of 574 consecutive resections［J］. Ann Surg， 2013， 258（1）：129-140.
8	Schimizzi GV， Jin LX， Davidson JT 4th， et al. Outcomes after vascular resection during curative-intent resection for hilar cholangiocarcinoma： a multi-institution study from the US extrahepatic biliary malignancy consortium［J］. HPB （Oxford），2018，20（4）：332-339.
9	de Jong MC， Marques H， Clary BM， et al. The impact of portal vein resection on outcomes for hilar cholangiocarcinoma： a multiinstitutional analysis of 305 cases［J］. Cancer， 2012， 118（19）：4737-4747.
10	陆玉华，陈启阳，郭青松，等. 达芬奇机器人辅助下镜面人胆管结石取石一期成型术［J/OL］. 中华腔镜外科杂志（电子版），2021，14（6）：365-367.

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