Palliative segment III biliary bypass (left cholangio-jejunostomy) in malignant block at porta hepatis.
Segment III cholangio-enteric anastomosis was performed in 17 patients with obstructive jaundice due to unresectable malignancies at the porta hepatis. The operative mortality was 6% (1/17) and morbidity 30% (5/17). More than 50% fall in bilirubin level with symptomatic improvement in pruritus was seen in 13 patients. Three patients had 25%-50% fall in bilirubin level. This procedure is safe and effective in palliation of unresectable hilar obstruction.
Jagannath
P
P
Department of Surgical Oncology (Gastrointestinal Service), Tata Memorial Hospital, Bombay.
Bhansali
M S
MS
Desouza
L J
LJ
Swaroop
V S
VS
Mohandas
K M
KM
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D001650:Bile Duct Neoplasms / Q000601:surgery*; D001652:Bile Ducts / Q000601:surgery*; D001651:Cholestasis, Extrahepatic / Q000601:surgery*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care