Journal of hepato-biliary-pancreatic sciences · 2026
Differences in Right Hepatic Duct Length Among Left-Sided Hepatectomies: Conventional Hepatectomy Versus Extended Hepatectomy Versus Trisectionectomy.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sugiura Kota, Yamada Mihoko, Mizuno Takashi, Onoe Shunsuke, Watanabe Nobuyuki, Kawakatsu Shoji, Yamaguchi Junpei, Sunagawa Masaki, Baba Taisuke, Ebata Tomoki
Аннотация
BACKGROUND: Left-sided hepatectomy for perihilar cholangiocarcinoma includes conventional left hepatectomy (C-LH; H1234-B), extended left hepatectomy (E-LH; H12345'8'-B-MHV), and left trisectionectomy (LT; H123458-B). The anatomical characteristics of the resected length of the right hepatic duct (RHD) in E-LH remain unclear. This study aimed to characterize the length of the RHD across procedures.
METHODS: Patients who underwent left-sided hepatectomy for perihilar tumors between 2015 and 2023 were retrospectively reviewed. The shortest distance between the proximal bile duct stump and left hepatic duct orifice was measured on the resected specimens. The lengths and clinicopathological features of the procedures were compared.
RESULTS: In total, 205 patients were included: C-LH (n = 80), E-LH (n = 53), and LT (n = 72). The length of the right anterior hepatic duct was longer in E-LH than that in C-LH (15.2 vs. 13.0 mm, p = 0.006). Similarly, the length of the right posterior hepatic duct increased stepwise from C-LH to E-LH and LT (13.3, 16.6, and 20.0 mm, respectively).
CONCLUSIONS: E-LH is an intermediate procedure between C-LH and LT with respect to the resected length of the RHD. The additional bile duct length achieved by E-LH is minimal, and this procedure should be selected primarily to secure the parenchymal margin rather than ductal clearance.
METHODS: Patients who underwent left-sided hepatectomy for perihilar tumors between 2015 and 2023 were retrospectively reviewed. The shortest distance between the proximal bile duct stump and left hepatic duct orifice was measured on the resected specimens. The lengths and clinicopathological features of the procedures were compared.
RESULTS: In total, 205 patients were included: C-LH (n = 80), E-LH (n = 53), and LT (n = 72). The length of the right anterior hepatic duct was longer in E-LH than that in C-LH (15.2 vs. 13.0 mm, p = 0.006). Similarly, the length of the right posterior hepatic duct increased stepwise from C-LH to E-LH and LT (13.3, 16.6, and 20.0 mm, respectively).
CONCLUSIONS: E-LH is an intermediate procedure between C-LH and LT with respect to the resected length of the RHD. The additional bile duct length achieved by E-LH is minimal, and this procedure should be selected primarily to secure the parenchymal margin rather than ductal clearance.