title: Third segment cholangio-jejunostomy in the treatment of unresectable klatskin tumors.
abstract: OBJECTIVE
  Cholangiocarcinoma of the hepatic hilum is a seldom curable lesion when detected and several methods of palliation have been suggested. Bismuth has proposed an intrahepatic cholangiojejunostomy on the third segment of the liver, which in his experience obtains effective biliary drainage with better quality of life compared with other forms of palliation.
  
  
  METHODS
  We have used this technique in nine cases. We evaluate results, mortality and morbidity, in comparison with other authors' reported series.
  
  
  RESULTS
  In the early postoperative period one patient died, two patients suffered from immediate postoperative complications, and jaundice resolved completely in six patients. Long term survival was influenced by the underlying disease.
  
  
  CONCLUSIONS
  Our findings support Bismuth preference for this technique of surgical palliation for non resectable tumors of the biliary tract.
authors: Istituto di scienze biomediche, Universita degli Studi di Milano.
authors: A M
authors: AM
authors: Taschieri
authors: M
authors: M
authors: Elli
authors: P G
authors: PG
authors: Danelli
authors: M
authors: M
authors: Cristaldi
authors: G
authors: G
authors: Montecamozzo
authors: T
authors: T
authors: Porretta
mesh_terms: D000368:Aged; D001650:Bile Duct Neoplasms / Q000401:mortality / Q000601:surgery*; D002768:Choledochostomy; D005260:Female; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D018285:Klatskin Tumor / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D012189:Retrospective Studies; D015996:Survival Rate