Extended Left Lobectomy Combined with Resection of the Caudate Lobe and the Extrahepatic Bile Duct, and Lymphadenectomy and Hepaticojejunostomy with the Roux-en-Y Method for Intrahepatic Cholangiocellular Carcinoma

Intrahepatic cholangiocellular carcinoma (CCC) has a tendency to spread extrahepatically, especially to the lymph nodes and the hilar bile duct. Consequently, results after hepatic resection are poor for advanced cancer. Small CCC without lymph node involvement is a good indication for hepatic resection. Extended left lobectomy, combined with resection of the caudate lobe and extrahepatic bile duct, and lymph node dissection was performed for small (2.5 cm diameter) CCC with invasion to the hilar bile duct, but without lymph node involvement. The patient is doing well 6 years after surgery without any evidence of recurrence.