Segment III by-pass for palliation of cholangio carcinoma

ABSTRACT

Segment III by - pass was tried in 12 patients presented with Jaundice and diagnosed as cholangiocarcinoma at hilum of the liver with PTC and ERCP, 6 males and 6 females. All patients had contraindication to resection by PTC finding [bilateral ductal extension beyond second order ducts]. The procedure was completed in 11 patients. There was one death in the 5th postoperative day in patient in whom there was failure to achieve by-pass due to renal failure. Self controlled biliary fistula happened in 3 patients. Persistent Jaundice postoperatively in one patient, most probably due to improper choice of the patient suitable for that procedure. Cholangitis occured in 4 patients resolved with antibiotic except in one patient who died in 35th postoperative day. As regard long term results, 8 patients have been followed until death with an average survival from 2-24 months. Recurrence of Jaundice and biliary infection were the most common long term complication before death