Cahow C E
Am J Surg. 1979 Apr;137(4):443-8. doi: 10.1016/0002-9610(79)90112-0.
A simplified technic for performing intrahepatic cholangiojejunostomy has been described, which can be utilized to bypass proximal biliary tract obstruction where the usual methods of choledochoenteric decompression are not possible. This technic has been performed nine times in seven patients, with a mortality of 30 per cent. In all but the two patients who died of liver failure in the immediate postoperative period, jaundice and pruritus were relieved. There was one wound infection and one instance of stenosis of the anastomosis which responded to dilatation.
一种用于施行肝内胆管空肠吻合术的简化技术已被描述,该技术可用于绕过近端胆道梗阻,而在此种情况下,通常的胆总管肠道减压方法是不可行的。这项技术已在7例患者中实施了9次,死亡率为30%。除了2例在术后短期内死于肝功能衰竭的患者外,其余患者的黄疸和瘙痒均得到缓解。发生了1例伤口感染和1例吻合口狭窄,后者经扩张治疗后好转。