Calibration of the liverwort confluence in the left leads by neoplastic biliary obstructions
Keywords:
bile ducts, neoplasms, surgery, jaundice, obstructiveAbstract
A new surgical procedure is presented for the palliative treatment of pedicular malignant biliary obstruction: intubation of the hepatic ducts confluence in the left bypass operations by a right trans-hepatic tube, either a simple one or an U-tube. Its aim is to preserve drainage of both hemi-livers when the progression of the tumour infiltrates the aforesaid confluence. Maintenance of its viability avoids biliary stasis and severe angiocholitis in the contralateral undrained lobe, which shortens and complicates survival. Four cases were thus treated: three anastomosis in the left hepatic duct and one in the duct of segment 111. The post-operative courses were uneventful and average survivals of over 10 months were obtained, without relapse of jaundice or bouts of angiocholitis.
Downloads
Metrics
Downloads
Published
How to Cite
Issue
Section
License
All articles, videos and images published in Revista Cirugía del Uruguay are under the Creative Commons CC licenses, which is a complement to the traditional copyright, in the following terms: first, the authorship of the referred document must always be acknowledged and secondly none of the article or work published in the journal may have commercial purposes of any nature. The authors retain their copyrights and give the magazine the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution-NonCommercial 4.0 International License license that allows the work to be shared whenever the initial publication is indicated in this journal.