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Twenty-two patients had hilar cholangiocarcinoma, one carcinoma of the gallbladder, one pancreatic carcinoma, one recurrent gastric carcinoma and one lymphoma. Seventeen patients had no complications in the postoperative period and six had complications; there were three postoperative deaths. Eighteen of the 23 surviving patients experienced complete resolution of jaundice for at least 3 months. Four developed recurrent jaundice and three had episodes of cholangitis before death. Segment III cholangiojejunostomy offers effective palliation for most patients with irresectable hilar malignancy.<\/jats:p>","DOI":"10.1002\/bjs.1800811125","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T19:50:21Z","timestamp":1172951421000},"page":"1639-1641","source":"Crossref","is-referenced-by-count":39,"title":["Segment III cholangiojejunostomy for palliation of malignant hilar obstruction"],"prefix":"10.1093","volume":"81","author":[{"given":"C M","family":"Guthrie","sequence":"first","affiliation":[{"name":"University Department of Surgery, The Royal Infirmary , Lauriston Place, Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S W","family":"Banting","sequence":"additional","affiliation":[{"name":"University Department of Surgery, The Royal Infirmary , Lauriston Place, Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O J","family":"Garden","sequence":"additional","affiliation":[{"name":"University Department of Surgery, The Royal Infirmary , Lauriston Place, Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D C","family":"Carter","sequence":"additional","affiliation":[{"name":"University Department of Surgery, The Royal Infirmary , Lauriston Place, Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1994,11,1]]},"reference":[{"key":"2024092813170995300_bib1","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1016\/S0039-6109(16)45293-X","article-title":"Cholangiocarcinoma","volume":"70","author":"Yeo","year":"1990","journal-title":"Surg Clin North Am"},{"key":"2024092813170995300_bib2","first-page":"542","article-title":"Management of carcinoma of the extrahepatic bile ducts","volume":"21","author":"Black","year":"1978","journal-title":"Can J Surg"},{"key":"2024092813170995300_bib3","first-page":"752","article-title":"Carcinoma of the extrahepatic bile ducts: results of an aggressive surgical approach","volume":"98","author":"Langer","year":"1985","journal-title":"Surgery"},{"key":"2024092813170995300_bib4","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1002\/1097-0142(19871001)60:7<1612::AID-CNCR2820600732>3.0.CO;2-1","article-title":"The long-term survival of patients with carcinoma of the main hepatic duct junction","volume":"60","author":"Iida","year":"1987","journal-title":"Cancer"},{"key":"2024092813170995300_bib5","first-page":"597","article-title":"Outcome of radical surgery in hilar cholangiocarcinoma","volume":"107","author":"Hadjis","year":"1990","journal-title":"Surgery"},{"key":"2024092813170995300_bib6","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/0002-9343(65)90178-6","article-title":"Adenocarcinoma of the hepatic duct at its bifurcation within the porta hepatis. 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