{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:37:59Z","timestamp":1787312279419,"version":"build-2736575974"},"reference-count":12,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2008,1,1]],"date-time":"2008-01-01T00:00:00Z","timestamp":1199145600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2008,1,1]],"date-time":"2008-01-01T00:00:00Z","timestamp":1199145600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2008]]},"abstract":"<i>Background\/Aims:<\/i> Since proximal-to-mid bile duct (BD) cancers often involve the proximal portion of the intrapancreatic BD, resection of the extrahepatic BD can result in a tumor-positive distal resection margin. It is essential that a surgical procedure is developed to obtain a tumor-free distal BD resection margin during extrahepatic BD resection, in which R0 resection can be achieved without performing pancreatoduodenectomy. <i>Methods:<\/i> Based on preparatory clinicopathological analyses, excavation of the proximal intrapancreatic BD was designed to resemble a 2- to 3-cm-long funnel. The surgical procedure was a combination of the usual extrahepatic BD resection and funnel-shaped excavation of the proximal intrapancreatic BD. <i>Results:<\/i> This unique procedure, called extended extrahepatic BD resection, was performed on 3 patients aged over 70 years with mid BD cancer. Deep intrapancreatic BD excavation per se required about 1 h. A tumor-free intrapancreatic BD resection margin was obtained in all 3 patients. Only minor complications occurred. Two patients are doing well without recurrence, at 20 and 14 months, respectively, and one is alive at 12 months with lymph node metastasis detected 1 month earlier. <i>Conclusion:<\/i> By achieving R0 resection, this extended extrahepatic BD resection seems to benefit some proximal-to-mid BD cancer patients in whom pancreatoduodenectomy has a high operative risk.<\/jats:p>","DOI":"10.1159\/000118025","type":"journal-article","created":{"date-parts":[[2008,2,22]],"date-time":"2008-02-22T06:25:15Z","timestamp":1203661515000},"page":"74-79","source":"Crossref","is-referenced-by-count":9,"title":["Extended Extrahepatic Bile Duct Resection to Avoid Performing Pancreatoduodenectomy in Patients with Mid Bile Duct Cancer"],"prefix":"10.1159","volume":"25","author":[{"given":"Shin","family":"Hwang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung-Gyu","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ki-Hun","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chul-Soo","family":"Ahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deok-Bog","family":"Moon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae-Yong","family":"Ha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gi-Won","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Hwan","family":"Jung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2008,2,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097%2F01.coc.0000139017.90599.f5"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097%2F01.coc.0000245467.97180.78"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2FS1072-7515%2898%2900127-6"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1002%2Fjso.20668"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.2002.02211.x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002%2Fcncr.20906"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007%2FBF01659134"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2168.2001.01685.x"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097%2F00000658-199901000-00010"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.surg.2004.10.008"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00268-005-0380-7"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.jamcollsurg.2003.11.022"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/118025","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/118025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T22:00:07Z","timestamp":1745445607000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000118025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2008,4,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000118025","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"value":"0253-4886","type":"print"},{"value":"1421-9883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008]]}}}