Scholarlink

When the hilus of the liver is not accessible for decompression of obstructive jaundice, use of intrahepatic ducts for surgical bypass is a safe and effective technique, as originally described by Bismuth and Corlette in 1975 and later by Blumgart and Kelly in 1984. The general principle is to identify intrahepatic healthy bile duct mucosa proximal to a point of biliary obstruction and to create a mucosa-to-mucosa anastomosis to a long Roux-en-Y loop of jejunum. Anastomosis should provide biliary drainage and relief of symptoms such as jaundice and pruritus. It should be noted that these surgical approaches to biliary decompression have largely been replaced by endoscopic and percutaneous drainage procedures. Nonetheless, they can be helpful in uncommon but important clinical scenarios.

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

The Ligamentum Teres Approach and Other Approaches to the Intrahepatic Ducts for Palliative Bypass

  • 动态工具书词条

  • 发表日期：

    2026年

查看全文
  • Michael D’Angelica

摘要

When the hilus of the liver is not accessible for decompression of obstructive jaundice, use of intrahepatic ducts for surgical bypass is a safe and effective technique, as originally described by Bismuth and Corlette in 1975 and later by Blumgart and Kelly in 1984. The general principle is to identify intrahepatic healthy bile duct mucosa proximal to a point of biliary obstruction and to create a mucosa-to-mucosa anastomosis to a long Roux-en-Y loop of jejunum. Anastomosis should provide biliary drainage and relief of symptoms such as jaundice and pruritus. It should be noted that these surgical approaches to biliary decompression have largely been replaced by endoscopic and percutaneous drainage procedures. Nonetheless, they can be helpful in uncommon but important clinical scenarios.