THE LONGMIRE PROCEDURE: IS IT WORTHWHILE?
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Keywords:
Malignant Hilar Tumours, Peripheral Intrahepatic Cholangiojejunostomy, Longmire Procedure
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Abstract
Objective: To evaluate the peripheral intrahepatic cholangiojejunostomy (Longmire procedure) for the palliative treatment of jaundice in patients with irresectable malignant tumours of the liver hilum.
Material and Methods: In a retrospective study, indications, surgical technique, perioperative complications, and efficacy of treatment were analyzed for 17 patients who had received a Longmire peripheral intrahepatic cholangiojejunostomy between May 2000 and August 2004.
Results: The Longmire procedure was exclusively palliative in all 17 cases. The 30-day mortality in the study group was 11.6% (n=2/17), and the mean survival was 6.2 months. In patients surviving more than one month, a marked and persistent decrease in cholestasis was achieved in 86.6% cases.
Conclusion: The Longmire peripheral intrahepatic cholangiojejunostomy is a feasible and a worthwhile procedure and offers a reasonably effective palliative treatment for patients with irresectable tumours of the liver hilum.
Material and Methods: In a retrospective study, indications, surgical technique, perioperative complications, and efficacy of treatment were analyzed for 17 patients who had received a Longmire peripheral intrahepatic cholangiojejunostomy between May 2000 and August 2004.
Results: The Longmire procedure was exclusively palliative in all 17 cases. The 30-day mortality in the study group was 11.6% (n=2/17), and the mean survival was 6.2 months. In patients surviving more than one month, a marked and persistent decrease in cholestasis was achieved in 86.6% cases.
Conclusion: The Longmire peripheral intrahepatic cholangiojejunostomy is a feasible and a worthwhile procedure and offers a reasonably effective palliative treatment for patients with irresectable tumours of the liver hilum.
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1.
Aurangzeb M. THE LONGMIRE PROCEDURE: IS IT WORTHWHILE?. J Postgrad Med Inst [Internet]. 2011 Aug. 8 [cited 2024 Dec. 22];20(1). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/123
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