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Apr 6, 2021 · Doctor Longmire felt that preserving the pylorus would provide a metering function for gastric emptying and even though acid was being manufactured by the intact stomach, pylorus preservation would not result in marginal ulceration. If the procedure was done for chronic pancreatitis, the wide resection for cancer was an unnecessary maneuver.
During the surgical career of William P. Longmire Jr, he independently described 3 operations [1]—the intrahepatic cholangiojejunostomy (Longmire I, first performed on April 2, 1947), the jejunal interposition after total gastrectomy (Longmire II on April 6, 1951), and finally the pylorus-preserving pancreaticoduodenectomy or “Whipple ...
Objective: To evaluate the peripheral intrahepatic cholangiojejunostomy (Longmire procedure) for the palliative treatment of jaundice in patients with irresectable malignant tumours of the liver hilum.Material and Methods: In a retrospective study, indications, surgical technique, perioperative complications, and efficacy of treatment were analyzed for 17 patients who had received a Longmire ...
Dr. Longmire’s investigations [4]). Therefore, an intact bile duct bifurcation was mandatory for this new operation to succeed as a biliary decompressive procedure. The first set of animal experiments failed because Drs. Longmire and Sanford attempted to design a two-stage operation in a canine model— common bile duct ligation,
Jan 1, 2006 · Results: The Longmire procedure was exclusively palliative in all 17 cases. The 30-day mortality in the study group was 11.6% (n=2/17), and the mean survival was 6.2 months.
He also developed a procedure to repair obstructed bile ducts by anastomosing the jejunum to the ducts in the liver, still called the Longmire procedure. In 1948, a Search Committee from UCLA, which included Dr. John Lawrence, the first Professor of Medicine and friend of Blalock when they had been together at Vanderbilt earlier, came to Hopkins to recruit Bill to come to UCLA to be the first ...
Conclusion: The satisfactory evolution observed in this study and literature results indicate that this type of bypass is a viable procedure in the palliative treatment of tumors of the proximal biliary those situations in which the endoscopic or percutaneous drainage can not be performed.
