title: Modification of the Longmire procedure.
abstract: Two modifications of the Longmire procedure of intrahepatic cholangiojejunostomy are reported. The first involves the preoperative placement under fluoroscopic control of a large Teflon catheter in the distal left hepatic duct to facilitate the identification and isolation of the duct at the time of surgery. The second modification is the use of a transhepatic silastic biliary stent positioned by utilizing the Teflon catheter. These modifications make the Longmire procedure technically much easier, and should help insure long-term success in both benign and malignant strictures. A successful case utilizing these modifications is reported.
mesh_terms: D000328:Adult; D001653:Bile Ducts, Intrahepatic / Q000601:surgery*; D001658:Biliary Fistula / Q000150:complications; D001660:Biliary Tract Diseases / Q000601:surgery; D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D002758:Cholangiography; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008099:Liver / Q000293:injuries / Q000601:surgery; D011138:Polytetrafluoroethylene; D012826:Silicone Elastomers
chemical_list: D012826:Silicone Elastomers; D011138:Polytetrafluoroethylene