Korenaga D, Ueo H, Tamura S, Kusumoto T, Baba H, Sugimachi K
Department of Surgery, National Oita Hospital, Japan.
Eur J Surg Oncol. 1992 Jun;18(3):272-4.
We designed a simple and reliable method of intrahepatic biliary drainage for patients with obstructive jaundice owing to a recurrent gastric cancer. This approach can be used for selected patients treated by partial gastrectomy and reconstructive surgery, using the Billroth II procedure and antecolic anastomosis. Anastomosis between the intrahepatic bile duct and the afferent jejunal loop is performed at the anterior edge of the liver, thus facilitating the prevention of recurrence of jaundice caused by tumor infiltration. Application of this technique led to a long-term palliation, control of the jaundice and a fairly normal life.
我们为因复发性胃癌导致梗阻性黄疸的患者设计了一种简单可靠的肝内胆管引流方法。这种方法可用于接受部分胃切除术和重建手术的特定患者，采用毕罗Ⅱ式手术和结肠前吻合术。肝内胆管与输入空肠袢之间的吻合在肝脏前缘进行，从而有助于预防肿瘤浸润引起的黄疸复发。应用该技术可实现长期缓解、控制黄疸并使患者生活基本正常。
