[Value of left cholangiojejunostomy in palliative treatment of malignant obstruction of the hepatic hilus].
The aim of this study is to analyse the results of the intrahepatic cholangiojejunostomy in the duct of segment III for malignant hilar obstruction performed in a group of 17 consecutive patients. An index for life quality, named comfort index, allowing the numeric comparison of the results was evaluated. An important reduction of the jaundice in 100% of the cases that were discharged from the hospital was observed. The hospital mortality was 11.8% with a comfort index of 81.9%. These results allow the following conclusions: 1) the employed technique represent an effective method for the solution of the cholestasis caused by unresectable tumors of the hepatic hilus; 2) the comfort index of 81.9% showed that the method is suitable as a palliative treatment of malignant hilar biliary obstruction.
Service de Chirurgie Générale, Hôpital Napoleão Laureano, João Pessoa, Paraíba, Porto Alegre, Rio Grande do Sul, Brésil.
M
M
Rangel
L
L
Pereira-Lima
F L
FL
Waechter
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects; D001650:Bile Duct Neoplasms / Q000175:diagnosis / Q000601:surgery*; D001653:Bile Ducts, Intrahepatic; D018281:Cholangiocarcinoma / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011379:Prognosis