Mediate transgastric hepaticostomy: about its differences with the Gohrbandt and Dogliotti hepaticogastrostomies
Hepaticostomía transgástrica mediata: a propósito de sus diferencias con las hepaticogastrostomías de Gohrbandt y Dogliotti
Resumen:
The different techniques of biliogastric anastomosis: common hepaticogastrostomy, Hepaticocolecystogastostomy and Hepaticogastostomy of Gohrbandt and Dogliotti, have been analized. All of them are not standing nowadays. Seven observations of biliogastric anastomosis with various techniques are summarily reported. Among them three (transgastric hepatostomies) with transhepatic "U" tubes are poi nted out. All of the treated cases were advanced biliary cancer, with the exception of sclerosing colangitis.With a simple and quick operation, this procedure allows the drainage of the bile from the hepatic .to the stomach, leaving a changeable tube passed through between the liver and the stomach without need of suturing one organ with the other. It is used in patients in serious conditions with limited overliving, instead of doing left hepatico-jejunostomies,that are more laborious operations for this kind of patients.
Se analizan las distintas técnicas de derivaciones biliogástricas: Hepatogastostomía pedicular, Hepátocolecistogastrostomíasy Hepatogastostomías de Gohrbandt y Dogliotti. Todas ellas han perdido actualidad. Se refieren sumariamente siete observaciones de anastomosis biliogástricas con diversas técnicas. Entre ellas se destacan tres Hepatostomías transgástricas con tubos t,anshepáticos en sedal. Todos los casos tratados erancánceres biliares avanzados con excepción de una colangitis esclerosante. Este procedimiento permite drenar la bilis de los hepáticos al estómago con una operación sencilla y rápida, dejando un tubo cambiable pasado en sedal entre el hígado y el estómago sin necesidad de anastomosar un órgano a otro. Se aplica en enfermos muy graves con sobrevida limitada, en vez de realizar hepatico yeyunostomías izquierdas, que son operaciones más laboriosas para enfermos tan graves.
1974 | |
drenajes transgástricos anastomosis cirugía gástrica transgastric drainages anastomosis gastric surgery |
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Español | |
Sociedad de Cirugía del Uruguay | |
Revista Cirugía del Uruguay | |
https://revista.scu.org.uy/index.php/cir_urug/article/view/2549 | |
Acceso abierto |
Sumario: | The different techniques of biliogastric anastomosis: common hepaticogastrostomy, Hepaticocolecystogastostomy and Hepaticogastostomy of Gohrbandt and Dogliotti, have been analized. All of them are not standing nowadays. Seven observations of biliogastric anastomosis with various techniques are summarily reported. Among them three (transgastric hepatostomies) with transhepatic "U" tubes are poi nted out. All of the treated cases were advanced biliary cancer, with the exception of sclerosing colangitis.With a simple and quick operation, this procedure allows the drainage of the bile from the hepatic .to the stomach, leaving a changeable tube passed through between the liver and the stomach without need of suturing one organ with the other. It is used in patients in serious conditions with limited overliving, instead of doing left hepatico-jejunostomies,that are more laborious operations for this kind of patients. |
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