Indirect Cholangiojejunostomy Using a Latex T Tube for Palliation of Malignant Jaundice

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Indirect cholangiojejunostomy was carried out using a Latex T tube for pallia-tion of non-curative malignant jaundice and its technique is described. The surgical procedures reported here can separate cholangiojejunostomy which otherwise involves some difficulty into three simple steps; 1) insertion of a Latex T tube into the common bile duct or hepatic duct, 2) Witzel type internal fistulization, and 3) Roux-en-Y jejunostomy. The reported technique can be one of the useful arms for control of obstructive jaundice due to malignancy of the biliary-pancreatic region and may have a special appeal to general practitioners.