遠隔期再発胆道癌再切除の4例

DOI 被引用文献1件 参考文献11件

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  • 4 cases of delayed recurrence of biliary tract cancer, which were underwent re-resection

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We clinicopathologically analyzed 4 patients who had recurrence of biliary tract cancer at periods 5 or more years after initial surgery, and underwent re-resection. The 4 patients consisted of 3 with gallbladder cancer (GBc) and 1 with bile duct cancer (BDc). The initial surgery for GBc was extended cholecystectomy in 2 patients and cholecystectomy alone in 1 patient, and that for BDc was upper and middle bile duct resection with bilateral hepatocholangiojejunostomy. The interval between initial surgery and recurrence ranged from 5 years and 1 month to 6 years and 7months. The symptoms at recurrence were jaundice in the 3 GBc patients, and fever due to cholangitis in the BDc patient. At re-surgery, the GBc patients underwent pancreatoduodenectomy,2 of them with PV resection, and 1 of them with IVC resection. The BDc patient underwent extended right hepatic lobectomy and left hepatocholangiojejunostomy. The mode of recurrence of GBc in the 3 patients was lymph node metastasis, residual cancer in the cystic duct stump, and neural invasion. The mode of recurrence in the BDc patient was residual cancer in the intrahepatic bile duct stump. Although 1 patient had hepatic metastasis, all patients have survived for 1 year and 4 months to 6 years and 8 months after re-surgery.

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  • Tando

    Tando 18 (1), 42-46, 2004

    Japan Biliary Association

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