“Anatomic” Right Hepatic Trisectionectomy (Extended Right Hepatectomy) With Caudate Lobectomy for Hilar Cholangiocarcinoma

摘要

We introduced a new procedure of right hepatic trisectionectomy with en bloc resection of the caudate lobe for advanced hilar cholangiocarcinoma, in which the bile ducts of the left lateral section were divided at the left side of the umbilical fissure following complete dissection of the umbilical plate. This right trisectionectomy can produce a longer proximal resection margin on the left hepatic duct and offer a better chance of long-term survival.