Intra Hepatic Cholangiogastrostomy at Mayo Hospital, Lahore

Abstract

Malignant obstructive jaundice due to obstruction of the hilar area of the liver can result from a number of causes. The most common causes are gallbladder carcinoma, hilar cholangiocarcinoma (Klatskin tumour). Primary or secondary liver tumours, or certain gastric or pancreatic cancers can also be responsible. Twelve patients were evaluated ¡n our study, seven (58.33%) were male and five (41.67%) were female. Male to female ratio was 1.4:1. Mean age of patients in our study was 51.75 years. The median age was 55 years. The age range of the patients in our study was 36.-65 years. To relieve the obstruction, we performed intrahepatico-cholangio gastrostomy in patients of unresectable tumours of portahepatitis. Operative mortality was 16%. Intraheptic cholangiogastrostomy is an effective palliative procedure for unresectable tumours at porta hepatis.