[A new technique of intrahepatic cholangiodigestive shunt in the right lobe of the liver].
Intra-hepatic cholangiojejunostomy in the left liver lobe is a well standardized procedure. For the right lobe however this procedure may be tedious, difficult and followed by early and late complications. A new technique is described based on two principles: minimal sacrifice of hepatic parenchyma and establishment of latero-lateral cholangio-intestinal anastomoses. Five patients were submitted to this procedure and one of them is alive without jaundice three years after the operation. It's concluded that this technique can be indicated in cases of biliary obstruction in which the anastomoses of the left duct cannot be performed because of local changes and in cases with cholangitis.
Machado
M C
MC
Serviço de Vias Biliares e Pâncreas da Disciplina de Cirurgia do Aparelho Digestivo, Faculdade de Medicina, Universidade de São Paulo.
da Cunha
J E
JE
Bacchella
T
T
Penteado
S
S
Pinotti
H W
HW
D000713:Anastomosis, Roux-en-Y / Q000379:methods; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging / Q000601:surgery*; D002758:Cholangiography; D001651:Cholestasis, Extrahepatic / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008099:Liver / Q000000981:diagnostic imaging / Q000601:surgery; D011379:Prognosis; D011877:Radionuclide Imaging
Nova técnica de derivação colangiodigestiva intra-hepática no lobo direito do fígado.