title: A new technique for the palliative treatment of high bile duct cancer.
abstract: In case of advanced unresectable hilar cholangiocarcinoma palliative procedures can offer a good quality of life. Palliative techniques include surgical intubation with a U tube or transhepatic ring catheters, nonoperative intubation with an endoprosthesis and biliary-enteric bypass techniques. We present a new surgical procedure for the palliative treatment of high bile duct cancer, in which the gallbladder is used as a conduit for a biliary-enteric bypass. Hepatico-cholecysto-jejunostomy is a safe, rapid and easy method that could be alternatively and successfully used for surgical palliation of unresectable hilar cholangiocarcinoma.
authors.affiliation: 2nd Department of Propaedeutic Surgery, Athens University Medical School, Laiko Hospital, Athens, Greece. msaf@in.gr
authors.forename: Michael C
authors.initials: MC
authors.lastname: Safioleas
mesh_terms: D000368:Aged; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D002758:Cholangiography; D002767:Cholecystostomy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007582:Jejunostomy; D008099:Liver / Q000601:surgery*; D010166:Palliative Care / Q000379:methods*; D011183:Postoperative Complications; D011184:Postoperative Period; D020521:Stroke / Q000209:etiology; D016896:Treatment Outcome