[Hepatodigestive shunts in the treatment of cancer of the liver with obstructions of the intrahepatic bile ducts].

The authors discuss the inductions and the usefulness of hepato-digestive derivations in the treatment of hepatic cancers associated with obstruction of intra-hepatic biliary pathways. A total of 32 hepato-digestive derivations in the left hepatic lobe have been carried out in a number of 62 cases, the remaining 30 cases being treated by a double hepato-digestive derivation on the III-rd and the VI-th segment (hepatogastro- or hepato-jejunostomy with or without disjointed--"in omega"--100 p). Pre- and intraoperational cholangiography is considered as mandatory in view of selecting the type of the intervention.