Abstract
Objective: To describe a new technique that can be used for palliative treatment for unresectable cholangiocarcinoma. Methods: The procedure was performed on a patient with recurrence of IC after two years of a left hepatectomy. Since it was a case of advanced disease with no possibility of resection, we performed a modified Longmire procedure (intrahepatic cholangiojejunostomy). Levels of bilirubin remained elevated after the surgical procedure, we decided to associate an internal drainage using a stent promoting jaundice relief using the preview modified Longmire procedure. Results: Patient remained jaundice free until she died of other complications of the disease after 04 months. During this period of time patients presented normal levels of bilirubin. Did not present acute cholangitis and referred better quality of life since she did not have external drains. Conclusion: We conclude that this technique can be an alternative palliative treatment for patients with advanced cholangiocarcinoma or even in cases of complex benign strictures of the biliary tree.
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