Indications for Extended Resection of the Liver and Portal Vein - Hepatic Artery Reconstruction

Enrique Moreno Gonzalez, MD, FACS(Hon)

Product Details
Product ID: ACS-5951
Year Produced: 2019
Length: 11 min.


The movie starts with the clinical records and CT and MRI exploration. The patient was diagnosed of obstructive jaundice by a Klatskin's tumour classified as Type IIIB and considered as non-resectable, treated by Wallstent prosthesis and chemotherapy. The patient suffered from many episodes of cholangitis treated during repeated stay in hospital. Finally was sent to us. The liver was affected with multiple abscesses and inflammatory extended lesions in the left lobe, left portal vein was partially obstructed and right hepatic artery infiltrated. Wallstent's prosthesis partially occluded. The patient was treated surgically. Dissection of the choledochous, section of the distal part. Removal of the prosthesis. Dissection of the common hepatic artery. Ligature and section of the left. Confirmation of obstruction of the right. Dissection of Portal Vein. Anastomosis of the trunk with the right branch. Resection of infiltrated right hepatic artery. Reconstruction by end-to-end anastomosis. Mobilization of segment I. Section of the liver through the main line. Occlusion of left and sagital hepatic veins. Reconstruction of the bile tract by double right cholangio-jejunostomy.