Biliary-digestive anastomosis to very peripheral bile ducts: Technique and results
Jaundice secondary to hepatic hilar obstruction remains a difficult surgical problem. While an increasing number of patients undergo exploration of hilar tumours with a view to possible resection, the surgeon often finds an irresect- able tumour and has difficulties in performing one of the more conventional bypass procedures. We have therefore persued an approach to very' peripheral bile ducts to perform biliary-enteric bypass procedures in 4 deeply jaundiced patients with irresectable hilar obstruction. The procedure was performed without mortality and excellent palliation was achieved. Biliary-enteric bypass to an adequately sized peripheral bile duct with minimal parenchymal trauma will increase the range of surgical options for palliative biliary bypass surgery. © 1995 S. Karger AG, Basel.
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