Authors: | D'Angelica, M. |
Editors: | Clavien, P. A.; Sarr, M. G.; Fong, Y.; Georgiev, P. |
Article/Chapter Title: | The ligamentum teres approach and other approaches to the intrahepatic ducts for palliative bypass |
Abstract: | When the hilus of the liver is not accessible for decompression of obstructive jaundice, use of intrahepatic ducts for surgical bypass is a safe and effective technique as originally described by Bismuth and Corlette in 1975 and later by Blumgart and Kelly in 1984. The general principle is to identify intrahepatic healthy bile duct mucosa proximal to a point of biliary obstruction and to create a mucosa-to-mucosa anastomosis to a long Roux-en-y loop of jejunum. Anastomosis should provide biliary drainage and relief of symptoms such as jaundice and pruritis. © 2007 Springer-Verlag Berlin Heidelberg. |
Book Title: | Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery |
ISBN: | 978-3-540-20004-8 |
Publisher: | Springer |
Publication Place: | Berlin, Germany |
Date Published: | 2007-01-01 |
Start Page: | 601 |
End Page: | 610 |
Language: | English |
DOI: | 10.1007/978-3-540-68866-2_65 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | Section 4 -- 9783540200048 (ISBN) -- Export Date: 2 April 2014 -- Source: Scopus |