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

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 . . .