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

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

Research output: Contribution to journalArticle

3 Citations (Scopus)

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

Fingerprint

Jehovah's Witnesses
Cholangiocarcinoma
Hepatectomy
Bile Ducts
Liver
Blood Transfusion
Jejunostomy
Lymph Node Excision
Hemostasis
Constriction
Liver Transplantation
Dissection
Therapeutics
Tissue Donors
Survival
Neoplasms

Keywords

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

ASJC Scopus subject areas

  • Surgery

Cite this

Right trisectionectomy of the liver for intrahepatic cholangiocarcinoma with bile duct invasion in a Jehovah's Witness. / Nishida, Seigo; Madariaga, Juan R.; Santiago, Sergio F; Quintini, Cristiano; Palaios, Emmanouil; Gyamfi, Anthony; Rico, Rafael; Hamamura, Keisuke; Haider, Hani; Moon, Jang I.; Levi, David M.; Casillas, Victor; Bejarano, Pablo A.; Tzakis, Andreas G.

In: Journal of Hepato-Biliary-Pancreatic Surgery, Vol. 14, No. 3, 01.05.2007, p. 312-317.

Research output: Contribution to journalArticle

Nishida, S, Madariaga, JR, Santiago, SF, Quintini, C, Palaios, E, Gyamfi, A, Rico, R, Hamamura, K, Haider, H, Moon, JI, Levi, DM, Casillas, V, Bejarano, PA & Tzakis, AG 2007, 'Right trisectionectomy of the liver for intrahepatic cholangiocarcinoma with bile duct invasion in a Jehovah's Witness', Journal of Hepato-Biliary-Pancreatic Surgery, vol. 14, no. 3, pp. 312-317. https://doi.org/10.1007/s00534-006-1143-z
Nishida, Seigo ; Madariaga, Juan R. ; Santiago, Sergio F ; Quintini, Cristiano ; Palaios, Emmanouil ; Gyamfi, Anthony ; Rico, Rafael ; Hamamura, Keisuke ; Haider, Hani ; Moon, Jang I. ; Levi, David M. ; Casillas, Victor ; Bejarano, Pablo A. ; Tzakis, Andreas G. / Right trisectionectomy of the liver for intrahepatic cholangiocarcinoma with bile duct invasion in a Jehovah's Witness. In: Journal of Hepato-Biliary-Pancreatic Surgery. 2007 ; Vol. 14, No. 3. pp. 312-317.
@article{841750153eac455ea09ea6b10cb90adb,
title = "Right trisectionectomy of the liver for intrahepatic cholangiocarcinoma with bile duct invasion in a Jehovah's Witness",
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.",
keywords = "Cholangiocarcinoma, Hepatectomy, Jehovah's Witness, Right trisectionectomy of the liver",
author = "Seigo Nishida and Madariaga, {Juan R.} and Santiago, {Sergio F} and Cristiano Quintini and Emmanouil Palaios and Anthony Gyamfi and Rafael Rico and Keisuke Hamamura and Hani Haider and Moon, {Jang I.} and Levi, {David M.} and Victor Casillas and Bejarano, {Pablo A.} and Tzakis, {Andreas G.}",
year = "2007",
month = "5",
day = "1",
doi = "10.1007/s00534-006-1143-z",
language = "English",
volume = "14",
pages = "312--317",
journal = "Journal of Hepato-Biliary-Pancreatic Sciences",
issn = "1868-6974",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - Right trisectionectomy of the liver for intrahepatic cholangiocarcinoma with bile duct invasion in a Jehovah's Witness

AU - Nishida, Seigo

AU - Madariaga, Juan R.

AU - Santiago, Sergio F

AU - Quintini, Cristiano

AU - Palaios, Emmanouil

AU - Gyamfi, Anthony

AU - Rico, Rafael

AU - Hamamura, Keisuke

AU - Haider, Hani

AU - Moon, Jang I.

AU - Levi, David M.

AU - Casillas, Victor

AU - Bejarano, Pablo A.

AU - Tzakis, Andreas G.

PY - 2007/5/1

Y1 - 2007/5/1

N2 - 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.

AB - 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.

KW - Cholangiocarcinoma

KW - Hepatectomy

KW - Jehovah's Witness

KW - Right trisectionectomy of the liver

UR - http://www.scopus.com/inward/record.url?scp=34249909213&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34249909213&partnerID=8YFLogxK

U2 - 10.1007/s00534-006-1143-z

DO - 10.1007/s00534-006-1143-z

M3 - Article

C2 - 17520209

AN - SCOPUS:34249909213

VL - 14

SP - 312

EP - 317

JO - Journal of Hepato-Biliary-Pancreatic Sciences

JF - Journal of Hepato-Biliary-Pancreatic Sciences

SN - 1868-6974

IS - 3

ER -