J Med Assoc Thai 1998; 81 (8):627

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Preoperative Portal Vein Embolization in Major Hepatectomy for Hilar Cholangiocarcinoma : A Case Report
Imsamran W Mail, Ratanachuek T

We herein, report a 48-year-old Thai man with underlying Child A cirrhosis from chronic
hepatitis B who complained of right upper abdominal pain. The imaging studies revealed
an incomplete obstruction of the hepatic duct confluence with intrahepatic bile duct dilatation,
predominantly on the right side. Hilar cholangiocarcinoma Bismuth Type lila was considered
to be the diagnosis. Portal embolization of the right portal vein was performed by transileocecal
approach, combined liver and bile duct resection with bilio-enteric anastomosis was carried
out three weeks later. The postoperative course was uneventful. We believe that portal embolization
may benefit patients with hilar cholangiocarcinoma by decreasing postoperative liver
failure.

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