J.Jpn. Surg. Soc.. 79(8): 777-782, 1978

---

Report on the annual meeting

HILAR INTRAHEPATIC CHOLANGIOJEJUNOSTOMY FOR INVASION OF THE HILUS FROM CARCINOMA OF THE GALLBLADDER

This report presents our recent experince with 5 cases of carcinoma of the gallbladder. An extended right hepatic lobectomy was performed in the case 1 . Four of the 5 cases developed obstructive jaundice due to invasion of the hilus, and three (case 2, 3 and 4) of the four cases had undergone an operation of biliary drainage at the hilar area―hepatojejunostomy or hepaticojejunostomy.
The case 3 was presented in the cine-symposium. An operation of the hilar intrahepatic cholangiojejunostomy was performed with a partial hepatectomy via modified round ligament technique. : The hepatic parenchyma, the anterior portion of the quadrate lobe was incised perpendicularly right side of the round ligament, then exposed the 2nd branches of the left intrahepatic bile duct. Additional partial resection of the quadrate lobe and excision of the tumor at the hilar area were carried out from the left side of the bile duct. One right and two left intrahepatic bile ducts were exposed and anastomosed to a single jejunal loop (Roux-en Y) at the intrahepatic hilar area.
An U-tube drainage through the bilateral hepatic lobes was done in the case 5.
The purpose of this report is to evaluate how to manage the hilar biliary obstruction from a malignant tumor, especially, carcinoma of the gallbladder.

---

---

To read the PDF file you will need Adobe Reader installed on your computer.