Palliation of malignant obstruction of the common bile duct by side to side choledochoduodenostomy

摘要: Abstract A series of forty-eight patients in whom choledochoduodenostomy was performed to relieve malignant obstruction the common bile duct is reported. side forty-six patients, and an end only two it technically preferable. The operation uniformly cleared jaundice rapidly, although immediate morbidity high, 15 per cent complications were related biliary-duodenal anastomosis. There no late instances ascending cholangitis forty-three survivors whose progress followed until they died primary disease. various alternatives all appear be inferior this operation, for reasons, theoretic objections its use are refuted by our results. It belief that palliative procedure choice unresectable distal part duct, when gallbladder surgically absent or otherwise unsuitable use. fashioning a Roux-Y anastomosis between jejunum needlessly complicated, should reserved those duodenum cannot adequately mobilized.