title: [Cholangiojejunostomy of the duct of the 3d segment. Palliative treatment of cholestatic jaundice caused by neoplastic obstruction of the hepatic hilus].
abstract: Cholangiojejunostomy of the duct of the III segment in the palliative treatment of mechanical jaundice from neoplastic obstruction of the hepatic hilus. The neoplastic obstruction of the liver hilus has an almost total absence of forewarning clinical signs and therefore results in surgery at a late stage when the patient is not susceptible to radical treatment. It is therefore necessary to use palliative treatment in order to resolve the serious jaundice, the main cause of a quick death. Among the palliative treatment the Authors report their experience of intrahepatic cholangiojejunostomy of the duct of the III segment that they consider the most suitable technique for its ease of execution, its constant anatomical situation and the peripheral position of the anastomoses in relation to the neoplastic lesion. This allows a lasting biliary decompression with a good residual life.
authors.affiliation: Divisione di Chirurgia Generale, Ospedale Comprensoriale di Guastalla, Reggio Emilia.
authors.forename: E
authors.initials: E
authors.lastname: Cudazzo
authors.forename: P P
authors.initials: PP
authors.lastname: Puviani
authors.forename: A
authors.initials: A
authors.lastname: Lucchini
authors.forename: S
authors.initials: S
authors.lastname: Binacchi
authors.forename: D
authors.initials: D
authors.lastname: Dondi
authors.forename: M
authors.initials: M
authors.lastname: Bianchi
authors.forename: M
authors.initials: M
authors.lastname: Franzini
mesh_terms: D000714:Anastomosis, Surgical; D001653:Bile Ducts, Intrahepatic / Q000601:surgery*; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002779:Cholestasis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D018285:Klatskin Tumor / Q000150:complications*; D008113:Liver Neoplasms / Q000150:complications* / Q000175:diagnosis; D010166:Palliative Care; D011184:Postoperative Period; D014057:Tomography, X-Ray Computed
vernacular_title: Derivazione bilio-digiunale sul dotto del III segmento. Trattamento palliativo dell'ittero colostatico da ostruzione neoplastica dell'ilo epatico.