{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:49:24Z","timestamp":1791809364408,"version":"4.3.4"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hilar cholangiocarcinoma may present with advanced biliary obstruction requiring palliation. An 80-year-old frail woman with jaundice and severe pruritus had contrast-enhanced computed tomography findings radiologically consistent with Bismuth\u2013Corlette type IV hilar cholangiocarcinoma. No tissue diagnosis was obtained. Cancer antigen 19-9, carcinoembryonic antigen, alkaline phosphatase, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, and percutaneous transhepatic cholangiography were unavailable at the treating hospital and were not performed. Because referral and non-operative biliary drainage were not feasible and the patient requested active symptom-directed treatment, a modified Sullivan-type segment III hepatojejunostomy was performed. Operative time was 85\u00a0min and blood loss 100\u00a0ml. Pruritus resolved and bilirubin decreased from 191.78 to 127.81\u00a0\u03bcmol\/l by postoperative Day 10. The patient died ~2 months later from disease progression. The procedure therefore provided short-term symptomatic improvement and partial biochemical improvement only, illustrating a potential palliative option when standard drainage modalities are inaccessible.<\/jats:p>","DOI":"10.1093\/jscr\/rjag906","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T11:14:08Z","timestamp":1790334848000},"source":"Crossref","is-referenced-by-count":0,"title":["Modified Sullivan-type segment III hepatojejunostomy for radiologically presumed unresectable hilar cholangiocarcinoma: a technical case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Mirko","family":"Lombardi","sequence":"first","affiliation":[{"name":"Department of Surgery, Consolata Hospital Ikonda , Makete District, Njombe Region, PO Box 700, Njombe ,","place":["Tanzania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahati G","family":"Kamwezi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Consolata Hospital Ikonda , Makete District, Njombe Region, PO Box 700, Njombe ,","place":["Tanzania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tulia M","family":"Hadi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Consolata Hospital Ikonda , Makete District, Njombe Region, PO Box 700, Njombe ,","place":["Tanzania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lusekelo W","family":"Mwalukambwe","sequence":"additional","affiliation":[{"name":"Department of Surgery, Consolata Hospital Ikonda , Makete District, Njombe Region, PO Box 700, Njombe ,","place":["Tanzania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Mathayo","sequence":"additional","affiliation":[{"name":"Department of Radiology, Consolata Hospital Ikonda , Makete District, Njombe Region, PO Box 700, Njombe ,","place":["Tanzania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shama V","family":"Mkini","sequence":"additional","affiliation":[{"name":"Department of Surgery, Consolata Hospital Ikonda , Makete District, Njombe Region, PO Box 700, Njombe ,","place":["Tanzania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tresphory Boniphace","family":"Kamushaga","sequence":"additional","affiliation":[{"name":"Department of Surgery, Consolata Hospital Ikonda , Makete District, Njombe Region, PO Box 700, Njombe ,","place":["Tanzania"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnes L","family":"Mlawa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Consolata Hospital Ikonda , Makete District, Njombe Region, PO Box 700, Njombe ,","place":["Tanzania"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"2026101208292458500_ref1","first-page":"170","article-title":"Intrahepatic cholangioenteric anastomosis in carcinoma of 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(Oxford)"},{"key":"2026101208292458500_ref9","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1016\/S1470-2045(15)00223-5","article-title":"Global cancer surgery: delivering safe, affordable, and timely cancer surgery","volume":"16","author":"Sullivan","year":"2015","journal-title":"Lancet Oncol"},{"key":"2026101208292458500_ref10","volume-title":"Essential Surgery: Disease Control Priorities","author":"Debas","year":"2015","edition":"3"},{"key":"2026101208292458500_ref14","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1016\/0002-9610(67)90136-5","article-title":"Hepaticojejunostomy: modified Longmire operation for bile duct carcinoma","volume":"114","author":"Sullivan","year":"1967","journal-title":"Am J Surg"}],"container-title":["Journal of Surgical Case 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