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

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

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

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

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.

Right trisectionectomy of the liver for intrahepatic cholangiocarcinoma with bile duct invasion in a Jehovah's Witness. Publishing Authors By Initials

S Nishida,JR Madariaga,S Santiago,C Quintini,E Palaios,A Gyamfi,R Rico,K Hamamura,H Haider,JI Moon,DM Levi,VJ Casillas,PA Bejarano,AG Tzakis,S Nishida,JR Madariaga,S Santiago,C Quintini,E Palaios,A Gyamfi,R Rico,K Hamamura,H Haider,JI Moon,DM Levi,VJ Casillas,PA Bejarano,AG Tzakis,

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

PUBLICATION TYPE: Journal Article

Journal: Journal of hepato-biliary-pancreatic surgery

VOLUME: 14

Page Numbers: 312-7

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ISSN: 0944-1166

DAY: 29

MONTH: 05

YEAR: 2007

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

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LANGUAGE: eng

NlmUniqueID: 9431940

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AFFILIATION: Division of Transplantation, Department of Surgery, Miller School of Medicine, University of Miami/Jackson Memorial Medical Center, 1801 NW 9th Avenue, Suite 514, Miami, Florida 33136, USA.

Country: Japan

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MEDLINETA: J Hepatobiliary Pancreat Surg

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