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Article: Malignant hilar biliary obstruction treated by segmental bilioenteric anastomosis

TitleMalignant hilar biliary obstruction treated by segmental bilioenteric anastomosis
Authors
Issue Date1988
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/surg
Citation
Surgery, 1988, v. 104 n. 3, p. 525-529 How to Cite?
AbstractSegmental bilioenteric anastomosis procedures were performed on 22 patients with malignant hilar biliary obstructions. The majority of the bypasses were done to the segment 3 duct and a single anastomosis was performed in each patient. The operative mortality rate was 13.6% and morbidity, 27.3%. The biliary obstruction was completely relieved in 5 patients, partially but satisfactory relieved in 11 patients, and not relieved in 3 patients. The mean survival was 8 months, and the median survival was 6 months. Late complications were seen in 42% of the patients, and these complications included cholangitis, liver failure, and duodenal obstruction. An analysis of the operative results with respect to the presence of right and left ductal system communication showed that when communication was absent, there was a greater incidence of unsuccessful relief of the biliary obstruction. When communication was present, the incidence of late cholangitis that involved the undrained side was greater.
Persistent Identifierhttp://hdl.handle.net/10722/172578
ISSN
2015 Impact Factor: 3.309
2015 SCImago Journal Rankings: 1.620
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChoi, TKen_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorLai, ECSen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2012-10-30T06:23:30Z-
dc.date.available2012-10-30T06:23:30Z-
dc.date.issued1988en_HK
dc.identifier.citationSurgery, 1988, v. 104 n. 3, p. 525-529en_HK
dc.identifier.issn0039-6060en_HK
dc.identifier.urihttp://hdl.handle.net/10722/172578-
dc.description.abstractSegmental bilioenteric anastomosis procedures were performed on 22 patients with malignant hilar biliary obstructions. The majority of the bypasses were done to the segment 3 duct and a single anastomosis was performed in each patient. The operative mortality rate was 13.6% and morbidity, 27.3%. The biliary obstruction was completely relieved in 5 patients, partially but satisfactory relieved in 11 patients, and not relieved in 3 patients. The mean survival was 8 months, and the median survival was 6 months. Late complications were seen in 42% of the patients, and these complications included cholangitis, liver failure, and duodenal obstruction. An analysis of the operative results with respect to the presence of right and left ductal system communication showed that when communication was absent, there was a greater incidence of unsuccessful relief of the biliary obstruction. When communication was present, the incidence of late cholangitis that involved the undrained side was greater.en_HK
dc.languageengen_US
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/surgen_HK
dc.relation.ispartofSurgeryen_HK
dc.subject.meshAgeden_US
dc.subject.meshBile Duct Neoplasms - Surgeryen_US
dc.subject.meshCholestasis, Intrahepatic - Etiology - Surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshGallbladder - Surgeryen_US
dc.subject.meshGallbladder Neoplasms - Complications - Surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshIntestine, Small - Surgeryen_US
dc.subject.meshLiver Neoplasms - Complications - Secondary - Surgeryen_US
dc.subject.meshMaleen_US
dc.titleMalignant hilar biliary obstruction treated by segmental bilioenteric anastomosisen_HK
dc.typeArticleen_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid3413680-
dc.identifier.scopuseid_2-s2.0-0023765166en_HK
dc.identifier.volume104en_HK
dc.identifier.issue3en_HK
dc.identifier.spage525en_HK
dc.identifier.epage529en_HK
dc.identifier.isiWOS:A1988P987800011-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChoi, TK=7202770029en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridLai, ECS=36932159600en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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