[Intrahepatic cholangio-jejunostomy in patients with unresectable carcinoma of the biliary tract and pancreas].

We have experienced 59 jaundiced patients with unresectable carcinoma of the biliary tract or pancreas in our institute for 7 years and 6 months. A side-to-side anastomosis between a bile duct in the segment III of the liver and jejunum by Roux-en Y manner was preferred as a palliative internal drainage operation in 13 cases out of them. The operative procedure was described in details. There was no operative death. The postoperative complications occurred in 4 cases, 2 at early and 2 at late phase, respectively. However, they were all recovered within a short period. Mean survival time after the surgery was 8.9 months. The longest survivor died of primary lesion at 25.5 months. In 6 out of 7 patients who survived more than 6 months, performance status was improved after surgery. Indication of this surgery was discussed based on our experiences. It should be emphasized that good palliation may be expected by this procedure for unresectable carcinoma of the biliary tract or pancreas.