Cholangiojejunostomy (Longmire Operation) for Relief of Biliary Obstruction Due to Carcinoma

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Abstract
IN 1948 Longmire and Sanford1 described the technic of intrahepatic cholangiojejunostomy for relief of biliary-tract obstruction due to extensive destruction of the extrahepatic ducts. Since then they have reported 3 additional cases in which the procedure was successfully carried out,2 and the reports of others have brought the total number of cases in which the operation was performed up to 8.3 4 5 6 There have undoubtedly been other cases that have not been reported. The circumstances that warrant the operation rarely arise. Allen,7 Cattell,8 Lahey,9 Cole et al.,10 and Walters and his associates11 have shown that biliary drainage into the intestine can . . .