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. 1980 Sep;192(3):299–305. doi: 10.1097/00000658-198009000-00004

Central hepatic resection and anastomosis for stricture or carcinoma at the hepatic bifurcation.

M J Hart, T T White
PMCID: PMC1344903  PMID: 7416827

Abstract

Ten cases of central hepatic resection for benign and malignant strictures are reported. Reconstruction was by hepaticojejunostomy with placement of a transhepatic silastic stent across the anastomosis. Four patients had carcinomas at the hepatic bifurcation. Four had high biliary stricture and two had intrahepatic stones and strictures. Follow-up ranged from six to 30 months. Two patients died in the postoperative period at two months and 18 months, both with widely patent hepaticojejunostomies. Satisfactory results have been obtained in seven of the eight remaining patients. These seven are symptom-free and without jaundice.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Akwari O. E., Kelly K. A. Surgical treatment of adenocarcinoma. Location: junction of the right, left, and common hepatic biliary ducts. Arch Surg. 1979 Jan;114(1):22–25. doi: 10.1001/archsurg.1979.01370250024004. [DOI] [PubMed] [Google Scholar]
  2. Cameron J. L., Gayler B. W., Zuidema G. D. The use of silastic transhepatic stents in benign and malignant biliary strictures. Ann Surg. 1978 Oct;188(4):552–561. doi: 10.1097/00000658-197810000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Camprodon R., Salva J. A., Jornet J., Guerrero J. A. Successful resection of carcinoma of the common hepatic duct at its superior bifurcation. Am J Surg. 1974 Sep;128(3):433–435. doi: 10.1016/0002-9610(74)90187-1. [DOI] [PubMed] [Google Scholar]
  4. Fortner J. G., Kallum B. O., Kim D. K. Surgical management of carcinoma of the junction of the main hepatic ducts. Ann Surg. 1976 Jul;184(1):68–73. doi: 10.1097/00000658-197607000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Iwasaki Y., Ohto M., Todoroki T., Okamura T., Nishimura A. Treatment of carcinoma of the biliary system. Surg Gynecol Obstet. 1977 Feb;144(2):219–224. [PubMed] [Google Scholar]
  6. KLATSKIN G. ADENOCARCINOMA OF THE HEPATIC DUCT AT ITS BIFURCATION WITHIN THE PORTA HEPATIS. AN UNUSUAL TUMOR WITH DISTINCTIVE CLINICAL AND PATHOLOGICAL FEATURES. Am J Med. 1965 Feb;38:241–256. doi: 10.1016/0002-9343(65)90178-6. [DOI] [PubMed] [Google Scholar]
  7. Karakousis C. P., Douglass H. O., Jr Hilar hepatojejunostomy in resection of carcinoma of the main hepatic duct junction. Surg Gynecol Obstet. 1977 Aug;145(2):245–248. [PubMed] [Google Scholar]
  8. Launois B., Campion J. P., Brissot P., Gosselin M. Carcinoma of the hepatic hilus. Surgical management and the case for resection. Ann Surg. 1979 Aug;190(2):151–157. doi: 10.1097/00000658-197908000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Tatarchuk T. W., White T. T. A new instrument for inserting a U tube. Am J Surg. 1979 Mar;137(3):425–426. doi: 10.1016/0002-9610(79)90082-5. [DOI] [PubMed] [Google Scholar]
  10. Terblanche J., Saunders S. J., Louw J. H. Prolonged palliation in carcinoma of the man hepatic duct junction. Surgery. 1972 May;71(5):720–731. [PubMed] [Google Scholar]
  11. Tsuzuki T., Uekusa M. Carcinoma of the proximal bile ducts. Surg Gynecol Obstet. 1978 Jun;146(6):933–943. [PubMed] [Google Scholar]

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