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Digestive Disease Interventions
DOI: 10.1055/s-0044-1788055
Review Article

Minimally Invasive Management of Postoperative Complications in Patients with Cholangiocarcinoma

Anastasia Schroeder
1   Department of Radiology, Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin
,
Sarah B. White
1   Department of Radiology, Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin
,
Kaila Redifer Tremblay 
1   Department of Radiology, Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, Wisconsin
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Abstract

Cholangiocarcinoma is a rare, aggressive biliary tract malignancy representing only 3% of digestive cancers worldwide. Late diagnosis is common, which results in less than one-third of patients being eligible for surgical resection or liver transplantation. Surgery, however, is not without associated morbidity and mortality. This article seeks to review minimally invasive techniques for the management of complications following liver transplantation and hepatic resection for patients with cholangiocarcinoma.

Keywords

cholangiocarcinoma - endovascular therapy - complications


Publication History

Received: 29 May 2024

Accepted: 07 June 2024

Article published online:
03 July 2024

© 2024. Thieme. All rights reserved.

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  • References

  • 1 Guedj N. Pathology of cholangiocarcinomas. Curr Oncol 2022; 30 (01) 370-380
    CrossrefPubMedGoogle Scholar
  • 2 Banales JM, Marin JJG, Lamarca A. et al. Cholangiocarcinoma 2020: the next horizon in mechanisms and management. Nat Rev Gastroenterol Hepatol 2020; 17 (09) 557-588
    CrossrefPubMedGoogle Scholar
  • 3 Cillo U, Fondevila C, Donadon M. et al. Surgery for cholangiocarcinoma. Liver Int 2019; 39 (Suppl, Suppl 1): 143-155
    CrossrefPubMedGoogle Scholar
  • 4 Seo N, Kim DY, Choi JY. Cross-sectional imaging of intrahepatic cholangiocarcinoma: development, growth, spread, and prognosis. AJR Am J Roentgenol 2017; 209 (02) W64-W75
    CrossrefPubMedGoogle Scholar
  • 5 Gorji L, Beal EW. Surgical treatment of distal cholangiocarcinoma. Curr Oncol 2022; 29 (09) 6674-6687
    CrossrefPubMedGoogle Scholar
  • 6 Ilyas SI, Khan SA, Hallemeier CL, Kelley RK, Gores GJ. Cholangiocarcinoma - evolving concepts and therapeutic strategies. Nat Rev Clin Oncol 2018; 15 (02) 95-111
    CrossrefPubMedGoogle Scholar
  • 7 Razumilava N, Gores GJ. Cholangiocarcinoma. Lancet 2014; 383 (9935) 2168-2179
    CrossrefPubMedGoogle Scholar
  • 8 Ierardi AM, Angileri SA, Patella F. et al. The role of interventional radiology in the treatment of intrahepatic cholangiocarcinoma. Med Oncol 2017; 34 (01) 11
    CrossrefPubMedGoogle Scholar
  • 9 Aragon RJ, Solomon NL. Techniques of hepatic resection. J Gastrointest Oncol 2012; 3 (01) 28-40
    PubMedGoogle Scholar
  • 10 Spolverato G, Yakoob MY, Kim Y. et al. Impact of complications on long-term survival after resection of intrahepatic cholangiocarcinoma. Cancer 2015; 121 (16) 2730-2739
    CrossrefPubMedGoogle Scholar
  • 11 Lemaire M, Vibert É, Azoulay D. et al. Early portal vein thrombosis after hepatectomy for perihilar cholangiocarcinoma: incidence, risk factors, and management. J Visc Surg 2023; 160 (06) 417-426
    CrossrefPubMedGoogle Scholar
  • 12 Russell MC. Complications following hepatectomy. Surg Oncol Clin N Am 2015; 24 (01) 73-96
    CrossrefPubMedGoogle Scholar
  • 13 Abbas S, Sandroussi C. Systematic review and meta-analysis of the role of vascular resection in the treatment of hilar cholangiocarcinoma. HPB (Oxford) 2013; 15 (07) 492-503
    CrossrefPubMedGoogle Scholar
  • 14 Deniz S, Öcal O, Kühn F, Angele MK, Werner J, Streitparth F. Interventional radiology options after visceral surgery. Visc Med 2022; 38 (05) 334-344
    CrossrefPubMedGoogle Scholar
  • 15 Naidu SG, Alzubaidi SJ, Patel IJ. et al. Interventional radiology management of adult liver transplant complications. Radiographics 2022; 42 (06) 1705-1723
    CrossrefPubMedGoogle Scholar
  • 16 Piardi T, Lhuaire M, Bruno O. et al. Vascular complications following liver transplantation: a literature review of advances in 2015. World J Hepatol 2016; 8 (01) 36-57
    CrossrefPubMedGoogle Scholar
  • 17 Aaberg MT, Marroquin CE, Kokabi N, Bhave AD, Shields JT, Majdalany BS. Endovascular treatment of venous outflow and portal venous complications after liver transplantation. Tech Vasc Interv Radiol 2023; 26 (04) 100924
    CrossrefPubMedGoogle Scholar
  • 18 Gilliland C, Shah J, Martin JG, Miller Jr MJ. Acute limb ischemia. Tech Vasc Interv Radiol 2017; 20 (04) 274-280
    CrossrefPubMedGoogle Scholar
  • 19 Semba CP, Razavi MK, Kee ST, Sze DY, Dake MD. Thrombolysis for lower extremity deep venous thrombosis. Tech Vasc Interv Radiol 2004; 7 (02) 68-78
    CrossrefPubMedGoogle Scholar
  • 20 Carrillo-Martínez MÁ, Rodríguez-Montalvo C, Flores-Villaba E. et al. Catheter directed hepatic artery thrombolysis following liver transplantation. Case report and review of the literature. BJR Case Rep 2019; 5 (03) 20190005
    PubMedGoogle Scholar
  • 21 Endovascular treatment of hepatic artery thrombosis following liver transplantation. Accessed January 21, 2024 at: https://onlinelibrary.wiley.com/doi/10.1111/j.1432-2277.2009.01037.x
    PubMedGoogle Scholar
  • 22 Vascular Interventions – Clinical Key. . Accessed March 30, 2024 at: https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780323045841000048?scrollTo=%23hl0002121
    PubMedGoogle Scholar
  • 23 Yang Y, Zhao JC, Yan LN. et al. Risk factors associated with early and late HAT after adult liver transplantation. World J Gastroenterol 2014; 20 (30) 10545-10552
    CrossrefPubMedGoogle Scholar
  • 24 Chen J, Weinstein J, Black S, Spain J, Brady PS, Dowell JD. Surgical and endovascular treatment of hepatic arterial complications following liver transplant. Clin Transplant 2014; 28 (12) 1305-1312
    CrossrefPubMedGoogle Scholar
  • 25 Sugi MD, Albadawi H, Knuttinen G. et al. Transplant artery thrombosis and outcomes. Cardiovasc Diagn Ther 2017; 7 (Suppl. 03) S219-S227
    CrossrefPubMedGoogle Scholar
  • 26 Singh AK, Nachiappan AC, Verma HA. et al. Postoperative imaging in liver transplantation: what radiologists should know. Radiographics 2010; 30 (02) 339-351
    CrossrefPubMedGoogle Scholar
  • 27 Sanyal R, Zarzour JG, Ganeshan DM, Bhargava P, Lall CG, Little MD. Postoperative Doppler evaluation of liver transplants. Indian J Radiol Imaging 2014; 24 (04) 360-366
    Article in Thieme ConnectPubMedGoogle Scholar
  • 28 Brookmeyer CE, Bhatt S, Fishman EK, Sheth S. Multimodality imaging after liver transplant: top 10 important complications. Radiographics 2022; 42 (03) 702-721
    CrossrefPubMedGoogle Scholar
  • 29 Kolarich AR, Solomon AJ, Weiss MJ, Philosophe B, Weiss CR, Hong K. Risk factors for complications requiring interventional radiological treatment after hepatectomy. J Gastrointest Surg 2021; 25 (05) 1184-1192
    CrossrefPubMedGoogle Scholar
  • 30 Sakai N, Yoshitomi H, Furukawa K. et al. Outcome of interventional radiology for delayed postoperative hemorrhage in hepatobiliary and pancreatic surgery. J Gastroenterol Hepatol 2020; 35 (12) 2264-2272
    CrossrefPubMedGoogle Scholar
  • 31 Wang XD, Ge NJ, He CJ, Zhu JJ, Xu W, Yang YF. Endovascular treatment of delayed arterial hemorrhage after radical operation for hilar cholangiocarcinoma. Hepatobiliary Pancreat Dis Int 2023; 22 (04) 403-405
    CrossrefPubMedGoogle Scholar
  • 32 Li TF, Duan XH, Li Z. et al. Endovascular embolization for managing anastomotic bleeding after stapled digestive tract anastomosis. Acta Radiol 2015; 56 (11) 1368-1372
    CrossrefPubMedGoogle Scholar
  • 33 Lubarsky M, Ray CE, Funaki B. Embolization agents-which one should be used when? Part 1: large-vessel embolization. Semin Intervent Radiol 2009; 26 (04) 352-357
    Article in Thieme ConnectPubMedGoogle Scholar
  • 34 Lubarsky M, Ray C, Funaki B. Embolization agents-which one should be used when? Part 2: small-vessel embolization. Semin Intervent Radiol 2010; 27 (01) 99-104
    Article in Thieme ConnectPubMedGoogle Scholar
  • 35 Cutolo C, De Muzio F, Fusco R. et al. Imaging features of post main hepatectomy complications: the radiologist challenging. Diagnostics (Basel) 2022; 12 (06) 1323
    CrossrefPubMedGoogle Scholar
  • 36 Reitano E, de'Angelis N, Bianchi G. et al. Current trends and perspectives in interventional radiology for gastrointestinal cancers. World J Radiol 2021; 13 (10) 314-326
    CrossrefPubMedGoogle Scholar
  • 37 Faria LL, Darce GF, Bordini AL. et al. Liver surgery: important considerations for pre- and postoperative imaging. Radiographics 2022; 42 (03) 722-740
    CrossrefPubMedGoogle Scholar
  • 38 Pfrepper C, Knödler M, Schorling RM, Seehofer D, Petros S, Lordick F. Predictors for thromboembolism in patients with cholangiocarcinoma. J Cancer Res Clin Oncol 2022; 148 (09) 2415-2426
    CrossrefPubMedGoogle Scholar
  • 39 Altman A, Zangan SM. Benign biliary strictures. Semin Intervent Radiol 2016; 33 (04) 297-306
    Article in Thieme ConnectPubMedGoogle Scholar
  • 40 Madhusudhan KS, Gamanagatti S, Srivastava DN, Gupta AK. Radiological interventions in malignant biliary obstruction. World J Radiol 2016; 8 (05) 518-529
    CrossrefPubMedGoogle Scholar
  • 41 George C, Byass OR, Cast JEI. Interventional radiology in the management of malignant biliary obstruction. World J Gastrointest Oncol 2010; 2 (03) 146-150
    CrossrefPubMedGoogle Scholar
  • 42 Jin S, Fu Q, Wuyun G, Wuyun T. Management of post-hepatectomy complications. World J Gastroenterol 2013; 19 (44) 7983-7991
    CrossrefPubMedGoogle Scholar
  • 43 Thompson CM, Saad NE, Quazi RR, Darcy MD, Picus DD, Menias CO. Management of iatrogenic bile duct injuries: role of the interventional radiologist. Radiographics 2013; 33 (01) 117-134
    CrossrefPubMedGoogle Scholar
  • 44 Boas FE, Solomon SB, Griffin JF, Weiss M. Postoperative complications requiring intervention: diagnosis and management. Blumgarts Surg Liver Biliary Tract Pancreas 2016; 2: 459-474
    PubMedGoogle Scholar