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  • Title: Left intrahepatic cholangiojejunostomy for proximal obstruction of the biliary tract.
    Author: Malt RA, Warshaw AL, Jamieson CG, Hawk JC.
    Journal: Surg Gynecol Obstet; 1980 Feb; 150(2):193-7. PubMed ID: 7352311.
    Abstract:
    Good palliation from high neoplastic obstruction of the biliary system was achieved by direct anastomosis of the duct draining hepatic segment III to a Roux-en-Y loop of jejunum in six patients. Roentgenologically guided transcutaneous drainage of intrahepatic ducts may be desirable as a preliminary to surgical drainage in severely icteric patients. With improvements in methods of transcutaneous intubation, the selection of proper patients for surgical drainage will be a fine point of judgment.
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