title: [Application of metallic stents for both inferior vena cava and biliary obstruction by lymph node involvement in a patient with recurrent hepatocellular carcinoma].
abstract: The authors experienced a case with obstruction of the inferior vena cava (IVC) and the common bile duct due to a recurrent hepatocellular carcinoma. In order to improve severe edema of the lower extremities and obstructive jaundice, IVC metallic stent as well as biliary stent were applied. A Luminexx stent of 8 cm in length was placed in the bile duct via subcutaneous route after biliary drainage. A spiral zigzag stent of 8 cm in length was also inserted into the IVC through the femoral vein following balloon dilatation of the obstructed portion. Subsequently, jaundice and edema were dramatically improved in a short period of time, which resulted in patient discharge from the hospital. Although the patient died of the cancer in 2 months, the quality of life was well maintained until death.
authors.affiliation: Dept. of Surgery, NTT West Osaka Hospital.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tono
authors.forename: Masaki
authors.initials: M
authors.lastname: Matsushita
authors.forename: Munehiro
authors.initials: M
authors.lastname: Maeda
authors.forename: Masahiro
authors.initials: M
authors.lastname: Murakami
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Nakano
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Takemoto
authors.forename: Mitsunobu
authors.initials: M
authors.lastname: Imazato
authors.forename: Tadashi
authors.initials: T
authors.lastname: Asaoka
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Hoshino
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Kanoh
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Kimura
authors.forename: Takashi
authors.initials: T
authors.lastname: Iwazawa
authors.forename: Tadashi
authors.initials: T
authors.lastname: Ohnishi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yano
authors.forename: Jun
authors.initials: J
authors.lastname: Okamura
authors.forename: Takushi
authors.initials: T
authors.lastname: Monden
mesh_terms: D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000150:complications*; D002404:Catheterization; D002779:Cholestasis / Q000628:therapy*; D003135:Common Bile Duct; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications*; D008297:Male; D009364:Neoplasm Recurrence, Local; D011788:Quality of Life; D015607:Stents; D014652:Vascular Diseases / Q000628:therapy; D014682:Vena Cava, Inferior