Hepatobiliary and Pancreatic Unit

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Bisegmentation 4-5 for gallbladder cancer

The gallbladder and surrounding liver parenchyma are resected as a single unit.

Before the intervention

THE CONSULTATION WITH THE SURGEON

Before a pancreatectomy, the patient undergoes various examinations to determine the type of pancreatic lesion and the indication for surgical treatment.

IHU Strasbourg benefits from the latest technological advances in diagnostic imaging tools such as: ultrasound, CT or scanner, MRI, angiography, 3D reconstruction imaging, etc. The result of these images makes it possible to create a three-dimensional model of the patient’s organ, thus obtaining an identical reconstruction which allows personalized solutions to be defined.

With the results obtained, the surgeon indicates to the patient the objectives of the operation, the technique used and the possible postoperative consequences and complications.

THE CONSULTATION WITH THE ANESTHESIST

Bisegmentectomy is performed under general anesthesia.

This consultation allows the risks associated with anesthesia to be assessed, taking into account medical, family and surgical history. It is very important to report any health problems (allergies, respiratory and heart problems, medication treatment, alcohol and tobacco consumption). In general, it is strongly recommended to stop drinking alcohol and tobacco a few weeks before the procedure.

Features

This procedure requires the one-piece ablation of the area which contains the gallbladder cancer with the sectioning of its venous, arterial and biliary pedicles.

A slice of the liver parenchyma is necessary to complete the procedure. The transection can be performed with intermittent clamping of the hepatic pedicle, that is, a temporary interruption of blood flow entering the liver to reduce bleeding.

A hepatic pedicle dissection is performed to resect the metastatic lymph nodes.

Procedures

The procedure can be performed by laparotomy, laparoscopy and robotic-assisted surgery.

The operating time is approximately 3 hours.
The length of hospitalization is approximately 5 days.

Benefits and advantages

It is the only intervention that can guarantee long-term survival in cases of gallbladder tumors.

Risks and complications

The most common complications are:
  • Leak from the bile ducts of the hepatectomy section (biliary fistula).
  • Postoperative hemorrhages.

Mortality linked to the intervention: <1%.

Useful information

Les traitements du cancer du foie

Download guide: Liver cancer treatments
by National Cancer Institute, e-cancer.fr

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Further information on the Cancer Info line: e-cancer.fr

French Health Authority (HAS)

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Hepatobiliary and Pancreatic Unit
digestive and endocrine pathologies
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