Right trisectionectomy of the liver for intrahepatic cholangiocarcinoma with bile duct invasion in a Jehovah's Witness

Seigo Nishida, Juan R. Madariaga, Sergio Santiago, Cristiano Quintini, Emmanouil Palaios, Anthony R. Gyamfi, Rafael Rico, Keisuke Hamamura, Hani Haider, Jang I. Moon, David M. Levi, Victor J. Casillas, Pablo A Bejarano, Andreas G. Tzakis

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Intrahepatic cholangiocarcinoma (ICC) is well known to have a very poor prognosis. Aggressive surgical strategies in the treatment of ICC, including major hepatectomy, have been reported to afford patients the best chance for significant survival. Recent advancements in surgical techniques concerning live donor liver transplantation have dramatically improved the results of major hepatectomy. However, surgical treatment of biliary malignancy is complex and is known to increase the likelihood of blood transfusion. We describe a Jehovah's Witness patient with ICC and concomitant bile duct invasion who had a successful right trisectionectomy with bile duct resection, lymph node dissection, and Rouxen-Y hepatico-jejunostomy without blood transfusion. A multidisciplinary preparation was crucial in obtaining this positive outcome. Importantly, bloodless liver transection techniques with inflow clamping, meticulous dissection, and hemostasis should be utilized for major hepatectomy in a Jehovah's Witness. The success of this case may alert clinicians to consider a hepatectomy as a possible option in the treatment of ICC in a Jehovah's Witness.

Original languageEnglish (US)
Pages (from-to)312-317
Number of pages6
JournalJournal of Hepato-Biliary-Pancreatic Surgery
Volume14
Issue number3
DOIs
StatePublished - May 1 2007

Keywords

  • Cholangiocarcinoma
  • Hepatectomy
  • Jehovah's Witness
  • Right trisectionectomy of the liver

ASJC Scopus subject areas

  • Surgery

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