title: Unilateral multiple metallic stent-in-stent for a case of hilar biliary cancer: an alternative stenting strategy.
abstract: The stenting strategy has been discussed in cases with unresectable hilar bile duct cancer (HBDC). We describe here a case of HBDC, 4 cm in size, invading the right portal vein and hepatic artery, which was only treated with repeated metallic stent placement, and the patient survived for a long period (51 months). Against Bismuth type-IV hilar biliary stricture, our strategy was to maintain the drainage of the largest, viable hepatic area (>50% of total liver) by unilateral multiple stent-in-stent.
authors: Division of Endoscdopy, Shizuoka Cancer Center, Nagaizum i, Suntogun, Shizuoka, Japan.
authors: Hiroyuki
authors: H
authors: Matsubayashi
authors: Yoshihiro
authors: Y
authors: Kishida
authors: Kenichiro
authors: K
authors: Imai
authors: Kinichi
authors: K
authors: Hotta
authors: Naomi
authors: N
authors: Kakushima
authors: Masaki
authors: M
authors: Tanaka
authors: Kohei
authors: K
authors: Takizawa
authors: Hiroyuki
authors: H
authors: Ono
mesh_terms: D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D001653:Bile Ducts, Intrahepatic / Q000000981:diagnostic imaging / Q000473:pathology*; D018281:Cholangiocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007564:Japan; D008670:Metals; D009361:Neoplasm Invasiveness / Q000473:pathology; D010166:Palliative Care / Q000379:methods*; D011788:Quality of Life; D018570:Risk Assessment; D015607:Stents
chemical_list: D008670:Metals