{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:50:58Z","timestamp":1782384658175,"version":"3.54.5"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The resectability of cholangiocarcinoma is often limited by vascular involvement; however, advancements in hepatobiliary and transplant surgery have enabled increasingly complex resections. We describe a novel, sequential approach to resection of cholangiocarcinoma involving triple-vessel reconstruction of the hepatic artery, portal vein, and inferior vena cava (IVC). A 71-year-old woman underwent resection of an intra-hepatic cholangiocarcinoma invading the hilar vessels. The procedure involved sequential resection, reconstruction and revascularization of the hepatic artery, portal vein and IVC before removing the specimen en-bloc. This approach preserved vascular inflow or outflow at each step, thereby minimizing the risk of ischemic liver injury and circumventing the time limitations of other techniques such as total vascular exclusion. The patient\u2019s postoperative course was uneventful, and she was discharged on postoperative day 14. At 44-month follow-up, she remains well with no radiological evidence of recurrence. Sequential vascular resection may represent a feasible strategy for selected patients with locally advanced cholangiocarcinoma.<\/jats:p>","DOI":"10.1093\/jscr\/rjag489","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:43:59Z","timestamp":1780573439000},"source":"Crossref","is-referenced-by-count":0,"title":["Extended left hepatectomy with sequential triple-vessel resection and reconstruction for advanced cholangiocarcinoma: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9606-1260","authenticated-orcid":false,"given":"Evonne Zoe","family":"Younan","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary and Upper GI Surgery, Royal Prince Alfred Hospital , 50 Missenden Road, Camperdown, NSW, 2050 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mansha","family":"Jiwane","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper GI Surgery, Royal Prince Alfred Hospital , 50 Missenden Road, Camperdown, NSW, 2050 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harinder Kaur","family":"Bains","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper GI Surgery, Royal Prince Alfred Hospital , 50 Missenden Road, Camperdown, NSW, 2050 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D","family":"Crawford","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper GI Surgery, Royal Prince Alfred Hospital , 50 Missenden Road, Camperdown, NSW, 2050 ,","place":["Australia"]},{"name":"Faculty of Medicine and Health, The University of Sydney , Camperdown, NSW, 2050 ,","place":["Australia"]},{"name":"RPA Institute of Academic Surgery (IAS), 45 Missenden Road , Camperdown, NSW, 2050 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charbel","family":"Sandroussi","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper GI Surgery, Royal Prince Alfred Hospital , 50 Missenden Road, Camperdown, NSW, 2050 ,","place":["Australia"]},{"name":"Faculty of Medicine and Health, The University of Sydney , Camperdown, NSW, 2050 ,","place":["Australia"]},{"name":"RPA Institute of Academic Surgery (IAS), 45 Missenden Road , Camperdown, NSW, 2050 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerome Martin","family":"Laurence","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper GI Surgery, Royal Prince Alfred Hospital , 50 Missenden Road, Camperdown, NSW, 2050 ,","place":["Australia"]},{"name":"Faculty of Medicine and Health, The University of Sydney , Camperdown, NSW, 2050 ,","place":["Australia"]},{"name":"RPA Institute of Academic Surgery (IAS), 45 Missenden Road , Camperdown, NSW, 2050 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"2026062506253831800_ref1","doi-asserted-by":"publisher","first-page":"20220814","DOI":"10.1016\/j.jhep.2022.07.022","article-title":"Current epidemiology of cholangiocarcinoma in Western countries","volume":"77","author":"Vithayathil","year":"2022","journal-title":"J Hepatol"},{"key":"2026062506253831800_ref2","doi-asserted-by":"publisher","first-page":"20170428","DOI":"10.21037\/tgh.2017.03.16","article-title":"Left hepatectomy with simultaneous hepatic artery and portal vein reconstructions in the operation for cholangiocarcinoma: the surgical techniques comprised of step-by-step established procedures","volume":"2","author":"Uchiyama","year":"2017","journal-title":"Transl Gastroenterol Hepatol"},{"key":"2026062506253831800_ref3","doi-asserted-by":"publisher","first-page":"20231011","DOI":"10.1016\/j.ejso.2023.107117","article-title":"National consensus on a new resectability classification for perihilar cholangiocarcinoma - 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