Hilar hepatojejunostomy in resection of carcinoma of the main hepatic duct junction.

Two patients with carcinoma of the main hepatic duct junction had resection followed by reconstruction between a Roux-en-Y loop of jejunum and the hepatic tissue surrounding the bile ducts at the hilum of the liver. At 18 and 11 month intervals postoperatively, they are both free from known tumor recurrence and have normal serum bilirubin levels.