liver surgery - hepato biliary and digestive surgery unit


HEPATO - BILIARY - PANCREATIC SURGERY


Professor and Chairman: Gennaro NUZZO MD

Catholic  University - School  of  Medicine

Rome - Italy

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BILIARY  CONFLUENCE  EXCISION
WITH  RIGHT  HEPATECTOMY
AND  TOTAL  CAUDECTOMY
FOR  HILAR  CHOLANGIOCARCINOMA

Six weeks after the embolization the size of the left lobe was increased by 40% of the initial size, as documented by the CT-scan (Fig. 6; the arrow showes the plane of the main scissura) and by the 3-D reconstruction CT-scan (Fig. 7).
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Fig. 6: Abdominal  CT  scan
Fig. 7: 3-D  reconstruction  CT  scan 
       
After bilateral subcostal laparotomy, hypertrophy of left lobe was confirmed (Fig. 8).
       
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Fig. 8: Operative  field
       
 
       
   
   
     
     
       
     
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