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- W2793235890 abstract "To evaluate the technical feasibility and clinical efficacy of placement of biliary stent for triple hepatic duct drainage in malignant hilar biliary obstruction. From January 2013 to February 2017, 18 consecutive patients with hilar malignancy underwent percutaneous placement of a crisscross-configured closed cell stent for palliative treatment. The Bismuth classification was type IV in all patients. Causes of obstruction were cholangiocarcinoma (n= 10), metastasis of stomach cancer (n= 4), metastasis of GB cancer (n=3), and metastasis of colon cancer (n= 1). Technical and clinical success, cumulative patient survival, and stent patency were evaluated. Stent placement was technically successful in all patients and was clinically successful in 17 patients. Numbers of percutaneous biliary drainage (PTBD) were 2 in all patients. Sites of PTBD were S3 with S5 (n= 2), S3 with S6 (n= 10), and S5 with S6 (n= 6). Initial serum bilirubin level ranged from 1.7 to 15.1 mg/dl (mean 5.1 mg/dl). Serum bilirubin level decreased significantly 1 week after placement (range 1.2-9.0 mg/dl, mean 2.9 mg/dl) and 1 month (range 0.35-5.77 mg/dl, mean 1.6 mg/dl), respectively after placement of biliary stent (p<0.001). Mean survival time was 187 days (range 2-705) and mean primary stent patency was 134 days (range 2-385). Percutaneous placement of crisscross-configured biliary stent seems to be technically feasible and clinically effective for triple hepatic duct drainage in hilar malignancy." @default.
- W2793235890 created "2018-03-29" @default.
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- W2793235890 date "2018-04-01" @default.
- W2793235890 modified "2023-09-25" @default.
- W2793235890 title "Abstract No. 699 Placement of biliary stent for triple hepatic duct drainage in hilar malignancy" @default.
- W2793235890 doi "https://doi.org/10.1016/j.jvir.2018.01.744" @default.
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