Surgical Resection of Malignant Tumor Located in the Distal Biliary Tract: Report of a clinical case
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Abstract
Distal cholangiocarcinoma is a highly lethal malignant tumor. The main carcinogenic risk factor is chronic inflammation of the bile ducts. Currently, Whipple surgery remains the only treatment option with curative intent. It is proposed to identify patients with this type of tumor and choose the ideal surgery method to maximize patient benefits. The case of a 62-year-old male patient, former smoker and alcoholic, has been reported for 20 years. I have intermittent abdominal pain, dyspepsia and loss of appetite. Imaging tests show large gallbladder with dilation of the upper third of the bile duct with narrowness in the distal segment. Whipple surgery was chosen due to laparotomy. The patient presented postoperative hemodynamic complications, so it is concluded that open surgery generates traumatic stress and should be managed by medical personnel and high-level hospitals.
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References
Buanes, T. y Edwin, B. (2018). Long term oncological outcome of laparoscopic techniques in pancreatic cancer. World Journal Gastrointest Endoscopy, 10(12), 383–391.
Burgos L. (2008). Colangiocarcinoma. Actualización, Diagnostico y Terapia. Revista Medica De Chile, 136, 56-78.
Cardinale, V., Semeraro, R. y Torrice, A. (2010). Intra-hepatic and extra-hepatic cholangiocarcinoma: angiocarcinoma: new insight into epidemiology and risk factors. World Journal Gastrointestinal Oncology, 2 (11), 407–416.
Chapa-Azuela, O., Roldán-García, J., Díaz-Martínez, J., y Etchegaray-Dondé, A. (2017). Pancreatoduodenectomía totalmente laparoscópica. Primer caso reportado en México. Cirugía y Cirujanos, 84 (5), 344-349.
Kornaropoulos, M., Moris, D., Beal W, E., Makris, M. C., Mitrousias, A. y Petrou, A. (2017). Total robotic pancreaticoduodenectomy: a systematic review. Surgical Endoscopy, 31(11), 4382–4392.
Labib, P. L., Goodchild, G. y Pereira, S. P. (2019). Molecular Pathogenesis of Cholangiocarcinoma. BMC Cancer, 19, 185.
Lalli, R., Merritt, N. y Schlachta, C. (2018). Robotic-assisted, spleen-preserving distal pancreatectomy for a solid pseudopapillary tumour in a pediatric patient: a case report and review of the literature. Journal of Robotic Surgery, 13(2), 325-329.
Liu, M., Ji, S., Xu, W., Liu, W., Qin, Y., Hu, Q., Sun, Q., Zhang, Z., Yu, X. y Xu, X. (2019). Laparoscopic pancreaticoduodenectomy: are the best times coming? World Journal of Surgical Oncology, 17(81), 1-11.
Mumtaz , K., Hamid , S. y Jafri, W. (2007). Endoscopic retrograde cholangiopancreaticography with or without stenting in patients with pancreaticobiliary malignancy, prior to surgery. Cochrane Database of Systematic Reviews (2), 1-8.
Peng, L., Lin, S., Li, Y. y Xiao, W. (2016). Systematic review and meta-analysis of robotic versus open pancreaticoduodenectomy. Surgical endoscopy, 31(8), 3085–3097.
Ridruejo, B. y Jimenez, S. (2006). Colangiocarcinoma infectado. Anales de Medicina Interna, 23 (7), 335-337.
Rizvi, S., Shahid A, K., Hallemeier, C. y Robin K, R. (2017). Cholangiocarcinoma — evolving concepts and therapeutic strategies. Nature Reviews Clinical Oncology, 15(2), 95-111.
Wang, S., Shi, N., You, L., Dai, M. y Zhao, Y. (2017). Minimally invasive surgical approach versus open procedure for pancreaticoduodenectomy. Medicine, 96 (50), 1-10.