Медицинская библиотека · Minerva chirurgica · 2003

[Endoscopic palliative treatment of the common bile duct at the hepatic hilum. Results in 583 patients treated in a single center over a 10-year period].

De Palma G D, Persico F, Masone S, Labianca O, Mastantuono L, Di Marino M, Persico G

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Аннотация

BACKGROUND

The outcomes of endoscopic biliary drainage for malignant stenoses at the hepatic hilum were retrospectively evaluated.

METHODS

From January 1990 to June 2001, 583 patients, 368 males, average age 69+/-18.5 years, were recruited. Endoscopic procedure consisted of insertion of 1 ore multiple stents, plastic or metallic, across the stricture, under mild sedation.

RESULTS

Successful stent insertion was achieved in 518/583 (88.8%) patients and successful drainage in 474 (81.3%) patients. Early complications were observed in 101 (17.3%) patients with related-mortality of 17 (2.9%) patients. Late complications occurred in 39.9% of patients. Survival was of 189 days, on average.

CONCLUSIONS

Endoscopic palliation should be the initial management of choice for malignant biliary stenoses at the hepatic hilum.

Для цитирования: De Palma G D, Persico F, Masone S, Labianca O, Mastantuono L, Di Marino M, Persico G. [Endoscopic palliative treatment of the common bile duct at the hepatic hilum. Results in 583 patients treated in a single center over a 10-year period].. Minerva chirurgica. 2003.

Предметные рубрики MeSH

Aged Aged, 80 and over Cholangiocarcinoma Cholangiopancreatography, Endoscopic Retrograde Cholestasis, Extrahepatic Common Bile Duct Constriction, Pathologic Drainage Female Gallbladder Neoplasms Humans Liver Neoplasms Lymphatic Metastasis Male Middle Aged Palliative Care Postoperative Complications Retrospective Studies Stents

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