Effect of the biliary drainage reconstruction by jejunal foreside to hepatic parenchyma on the Ⅲ Ⅳtype hilar cholangiocarcinoma       DU Xi-chen, JIN Xing-lin. Department of Hepatobiliary, Yanbian University Hospital, Yanji 133000, China
Corresponding author：JIN Xing-lin， E-mail:xljin@ybu.edu.cn
Abstract    Objective    To study the technique for anastomosis of jejunal forepart with hepatic parenchyma on the Ⅲ，Ⅳtype hilar cholangiocarcinoma. Methods    Twenty-three patients with advanced Ⅲ, Ⅳ type hilar cholangiocellular carcinoma underwent radical resection with jejunum rearside to bile duct rearside between June 2004 and June 2009 at the Department of Hepatobiliary of Yanbian University Hospital. In the cavity of jejunum near anastomosis drainage tube was laid and fetched out. Then hepatic parenchyma to jejunal foreside was sewed up. Results    Only one patient occurred anastomotic leakage. None of the patients developed anastomotic blooding and stenosis. The duration for accomplishing the anastomosis was 20 minutes averagely. Conclusion    The techniqe of the biliary drainage reconstruction by jejunal foreside to hepatic parenchyma on the hilar cholangiocarcinoma can be safe and used routinely.