title: [Bypass surgery or stent placement for biliary obstruction in patients with unresectable pancreatic cancer].
abstract: The therapeutic strategy for biliary obstruction in patients with unresectable pancreatic cancer is controversial. We compared complications and prognosis between 2 groups: the B group, 8 patients who were diagnosed as having inoperable pancreatic cancer at laparotomy and underwent bypass surgery, and the S group, 7 patients who underwent endoscopic stent placement for biliary obstruction due to clinically unresectable pancreatic cancer. Although 1 patient developed cholangitis and surgical site infection in the B group, there was no difference in the duration of hospital stay between the 2 groups. In terms of long-term complications, re-drainage was performed in 1 patient because of stent deviation and gastrointestinal bypass surgery was performed in 2 patients because of duodenum stenosis in the S group. There was no difference in postoperative survival between the 2 groups. Stent placement is less invasive and is recommended for the treatment of biliary obstruction in patients with clinically unresectable pancreatic cancer. However, bypass surgery is acceptable for the treatment of patients diagnosed as having inoperable pancreatic cancer at laparotomy.
authors.affiliation: Dept. of Surgery, Osaka Rosai Hospital.
authors.forename: Masahiro
authors.initials: M
authors.lastname: Murakami
authors.forename: Junzo
authors.initials: J
authors.lastname: Shimizu
authors.forename: Yokoku
authors.initials: Y
authors.lastname: Kim
authors.forename: Ho Min
authors.initials: HM
authors.lastname: Kim
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Souma
authors.forename: Masaki
authors.initials: M
authors.lastname: Hirota
authors.forename: Hirotaka
authors.initials: H
authors.lastname: Morishima
authors.forename: Shoki
authors.initials: S
authors.lastname: Mikata
authors.forename: Nobuki
authors.initials: N
authors.lastname: Matsunami
authors.forename: Junichi
authors.initials: J
authors.lastname: Hasegawa
authors.forename: Motohiro
authors.initials: M
authors.lastname: Hirao
authors.forename: Masato
authors.initials: M
authors.lastname: Komori
authors.forename: Harumasa
authors.initials: H
authors.lastname: Yoshihara
authors.forename: Riichiro
authors.initials: R
authors.lastname: Nezu
mesh_terms: D000368:Aged; D001662:Biliary Tract Surgical Procedures; D002779:Cholestasis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000150:complications*; D011183:Postoperative Complications; D011379:Prognosis; D015607:Stents