A case of bile duct cancer treated by laser via percutaneous transhepatic choledochoscopy.
Palliative treatment of bile duct cancer with Nd: YAG laser irradiation via percutaneous transhepatic choledochoscopy (PTCS) was performed in an 86-year-old man. The obstructed lumen of the lower common bile duct, 3 cm in length, was adequately reopened, and a further endoprosthesis insertion was not required. Symptomatic and subjective improvements were achieved with no complications, and there is no sign of recurrence after 9 months at the time of writing. This method of treatment is recommended for bile duct cancers to obtain long-term and adequate bile flow without catheter insertion.
Kubota
Y
Y
Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
Seki
T
T
Nakano
T
T
Maruoka
M
M
Mizuno
T
T
Sameshima
Y
Y
D000231:Adenocarcinoma, Papillary / Q000000981:diagnostic imaging / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003138:Common Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D004322:Drainage / Q000379:methods; D006801:Humans; D053685:Laser Therapy; D008297:Male