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Modification of the Longmire procedure.

J L Cameron, B W Gayler, D P Harrington

    Annals of Surgery
    |April 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Two modifications simplify the Longmire procedure for intrahepatic cholangiojejunostomy. These techniques improve surgical ease and long-term success rates for biliary strictures.

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    Area of Science:

    • Hepatobiliary surgery
    • Surgical techniques
    • Gastrointestinal surgery

    Background:

    • The Longmire procedure is a surgical technique for intrahepatic cholangiojejunostomy.
    • Benign and malignant strictures of the bile ducts can necessitate complex reconstructive surgery.
    • Improving the technical aspects of such procedures is crucial for patient outcomes.

    Observation:

    • Preoperative placement of a Teflon catheter in the distal left hepatic duct under fluoroscopic guidance.
    • Utilization of a transhepatic silastic biliary stent positioned via the Teflon catheter.

    Findings:

    • The reported modifications simplify the identification and isolation of the hepatic duct.
    • The use of a silastic stent facilitates biliary drainage post-surgery.

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  • These technical enhancements aim to improve the success rate of the Longmire procedure.

    • Implications:

    • These modifications can make the Longmire procedure technically easier for surgeons.
    • The enhanced technique may lead to improved long-term success in treating both benign and malignant biliary strictures.
    • Successful application in a clinical case demonstrates the potential benefits of these surgical advancements.