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Chinese Archives of General Surgery(Electronic Edition) ›› 2013, Vol. 07 ›› Issue (02): 137-140. doi: 10.3877/cma.j.issn.1647-0793.2013.02.015

Special Issue:

• Contention and Discussion • Previous Articles     Next Articles

Single-incision laparoscopic resection of Bismuth I hilar cholangiocarcinoma: one report of two cases

Hong YU1, Shuo-dong WU1,()   

  1. 1. Biliary and Vascular Surgery, Shengjing Hospital of China Medical University, Shenyang 110004, China
  • Received:2013-03-04 Online:2013-04-01 Published:2013-04-01
  • Contact: Shuo-dong WU
  • About author:
    Corresponding author: WU Shuo-dong, Email:

Abstract:

Objective

To investigate the safety and feasibility of single-incision laparoscopic resection of Bismuth I hilar cholangiocarcinoma.

Methods

Two cases with Bismuth I cholangiocarcinoma were chosen for the laparoscopic surgery. Segmental bile duct resection and hepatoduodenal ligament lymphadenectomy were performed using single-incision laparoscopic technique with conventional instruments.

Results

Two operations were successfully performed without conversion. The operation time was 300 and 350 minutes, respectively. The margins of proximal and distal bile ducts were negative. The hospital stay was 6 and 9 days, respectively. The abdominal wound recovered very well with good cosmesis.

Conclusions

Single-incision laparoscopic surgery cholangiocarcinoma resection can be optional in strictly selected patients with Bismuth I cholangiocarcinoma. Long-term follow-up and more data are needed to evaluate its benefits.

Key words: Cholangiocarcinoma, Bismuth I, SILS/single-site surgery

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