Management of high bile duct carcinoma
Beals, S.P.; Lucas, R.J.
American Surgeon 50(6): 305-311
1984
ISSN/ISBN: 0003-1348 PMID: 6203447 Document Number: 237439
Based on experience with six patients with high bile duct carcinoma, a rational therapeutic approach is proposed. When extent of tumor precludes resection, the authors recommend palliation with a biliary-enteric anastomsis to avoid the complications and inconveniences of long-term transhepatic stenting. This is best accomplished with construction of a left cholangiojejunostomy using the round ligament approach. Temporary bilobar decompression may be necessary in select cases.