Hepatobiliary and Pancreatic Unit

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Resection of the common bile duct (CPV)

This procedure consists of resecting part of the main bile duct in cases of cancerous obstruction.

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

Bile duct resection 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 one-piece removal of the area that contains the bile duct cancer.

Resection of the bile duct requires reestablishment of biliary continuity with a bilio-digestive anastomosis. A major hepatectomy may be associated in the event of invasion of the intrahepatic bile duct or associated vascular damage. In all cases, there is associated removal of the lymph nodes (lymph node dissection).

Procedure

The intervention can be carried out by different surgical techniques such as laparotomy, laparoscopy and robotic-assisted surgery.

The operating time is approximately 3 hours.
The length of hospitalization is approximately 4 days.

Benefits and advantages

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

Risks and complications

The most frequent complication is leakage from the biliary-digestive anastomosis (biliary fistula).

Procedure-related mortality: <0.5%.

Useful information

Les traitements du cancer du foie

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

Cancer Info Line

Can’t find answers to your questions about Cancer?

You can call the Cancer Info line on
0 805 123 124 (free service and calls). The hotline is open Monday to Friday, 9am to 7pm, and Saturday, 9am to 2pm.

Cancer Info is a service provided by the National Cancer Institute, in partnership with the League against cancer and a group of associations.

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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