[A variant of the authors' own method for transhepatic biliary drainage in high malignant obstruction of the bile ducts].

A modified technique for bilio-digestive anastomosis in high malignant obstruction of extrahepatic bile ducts, officially approved as an innovation (registration '29/1993), and a new variant of the technique with definite advantages, are described. The superiorities of the methods are discussed against the background of numerous procedures for bilio-digestive drainage in high biliary obstruction reported in the literature, with a special emphasis laid on liver parenchyma preservation, more reliable anastomosis application, no bile loss involved, and technically more readily and promptly executed.