尼泊尔经皮经肝胆道支架置入术治疗恶性胆道梗阻的早期经验

A. Thapa, S. Suwal, D. Chataut, K. Subedi
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引用次数: 0

摘要

导读:经皮胆道支架植入术被推荐用于治疗不可切除、寿命短的恶性胆道梗阻。经皮胆道支架置入术是一种较新的介入成像引导手术,正在尼泊尔实施。本研究的目的是分享我们在尼泊尔经皮胆道支架植入术的早期经验及其并发症。方法:回顾性分析2016年8月至2018年7月31例不能手术的恶性胆道梗阻患者行经皮经肝金属胆道支架植入术的临床成功、并发症、支架通畅及生存情况。结果:我们在支架植入术前1周,经超声和透视引导下行胆道外引流,成功置入31例恶性胆道梗阻。对患者进行随访,以记录和处理与手术有关的任何并发症。手术后12个月,胆红素水平降低了百分之几。结论:经皮胆道支架置入术对不可切除的恶性胆道梗阻创伤小,并发症少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Early Experience of Percutaneous Transhepatic Biliary Stenting in Malignant Biliary Obstruction in Nepal
Introduction: Percutaneous biliary stenting is recommended for palliation of unresectable malignant biliary obstruction with short life expectancy. Percutaneous biliary stenting is newer interventional imaging guided procedure being practiced in Nepal. Aim of this study is to share our early experience of percutaneous biliary stenting and its complications in Nepal.Methods: Retrospective review of clinical success, complication, stent patency and survival was done in 31 patients with nonoperable malignant biliary obstruction who underwent percutaneous transhepatic metallic biliary stenting from August 2016 to July 2018Results: We successfully stented 31 malignant biliary obstructions, following external biliary drainage via sonography and fluoroscopy guidance, one week prior to the stenting. The patients were followed up for documentation and management of any complications related to the procedure. Cent percent reduction in bilirubin levels <50% after 2 weeks were achieved. Procedure related mortality was nil. Major complications including early stent block were seen in 7 patients, which we managed accordingly. Stent patency rate for 3 months was 73% and for 6 months was 45%. Although the procedure is recommended in short life expectancy patients, average survival of the patients in our experience was 7.1 months after the procedure with 2 of the patients survived >12 months after the procedure.Conclusion: Percutaneous biliary stenting is less invasive palliation for unresectable malignant biliary obstruction with less complication as well.
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