[Biliary-duodenal prosthesis in the palliative treatment of tumors in the subhepatic region].
In the group of 347 patients (pts) with biliary cancer (218 females and 129 males, age range 42-88 years), the large size bilio-duodenal endoprostheses (BDE) were inserted. The success rate in BDE implantation varied from 68 to 92% according to the localisation of the common bile duct stenosis and its anatomy. The BDE introduction was followed by step-by-step normalisation in laboratory markers of biliary obstruction in 76% of pts, the full functional capacity of BDE varied from 26 to 311 days (median 168 days). In pts treated by BDE the survival median was 210 days. Early complications did not exceed 2.2%, late complications were observed in 8% out of cases. The 30-day mortality was 1.7%.
Dufek
V
V
I. interní klinika 1. LF UK, Praha.
Petrtýl
J
J
Klener
P
P
Marecek
Z
Z
Spicák
J
J
Chmel
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001652:Bile Ducts; D001661:Biliary Tract Neoplasms / Q000150:complications*; D002779:Cholestasis / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D012189:Retrospective Studies; D015607:Stents