CLINICAL REPORTS   

Chirurgia 1999 October;12(5):349-50

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Hepato-enterostomy on the third hepatic segment as a method of internal biliary derivation in patients with jaundice and neoplasm with good performance status

Battistini G., Scamuzzi C., Tallero G.

Palliative biliary derivation surgery using hepato-enterostomy on the third hepatic segment was performed in six jaundiced patients with primary or secondary infiltration of the hilar plaque.
Only patients with a quoad vitam prognosis of at least 6 months were selected as candidates for surgery. All patients had previously undergone percutaneous transhepatic cholangiography (PTC) and external biliary drainage. The surgical technique included the isolation and opening of the biliary recess of the third segment; anastomosis was performed using a y or omega loop. Complete remission of jaundice was observed in each of the operated patients, mortality was zero and morbidity was not significant. This procedure can therefore be regarded as a valid palliative approach in selected cases of jaundice secondary to infiltration of the biliary tract.