Bilobar stenting for tumors of the intrahepatic bile ducts
https://doi.org/10.18027/2224-5057-2015-2-46-52
Abstract
The article presents the experience of treating severe group of patients with proximal tumors of the biliary tract with lesions of the hepatic ducts. Of 1170 patients who underwent minimally invasive surgery for neoplastic lesions of the bile ducts, in 212 cases, stenting is performed when the tumor Klatskin, metastatic liver lesions and lymph nodes of the hepatoduodenal ligament. Used two-stage method of restoring patency of the bile ducts, in which the endoprosthesis was performed in most cases after a preliminary external decompression of biliary hypertension. In 207 cases was installed 2 stent in hepatic duct, in 5 cases – 3 stent. The authors have developed an algorithm for the management of patients in the postoperative period to prepare the patient for a possible radical surgical intervention, resulting in 6 cases it was possible to perform liver resection. In the postoperative period after radical surgery 1 patient died, after stenting operations in proximal tumor of the bile ducts mortality was 11.8%. The authors showed the effectiveness of minimally invasive technologies for restoring the patency of the tumor affected the hepatic ducts, which increases the median survival of patients with proximal tumors of the bile ducts, and also prepare a small group of patients for radical surgery.
About the Authors
MIHAIL KOROLEV
СПбГПМУ (Санкт-Петербургский государственный педиатрический
медицинский университет);
Российское эндоскопическое общество
Russian Federation
Russian Federation
д. м.н., профессор, заведующий кафедрой Общей хирургии с курсами эндоскопии и ухода за хирургическим больным;
председатель
LEONID FEDOTOV
СПбГПМ;
СПбГБУЗ «Городская Мариинская больница»
Russian Federation
Russian Federation
д. м.н., профессор кафедры Общей хирургии с курсами эндоскопии и ухода за хирургическим больным;
заведующий 5 хирургическим отделением
Ruben Garriewicz Avanesyan
St. Petersburg city budget healthcare institution «City Mariinsky hospital»
Russian Federation
к. м.н., доцент кафедры Общей хирургии с курсами эндоскопии и ухода за хирургическим больным
Russian Federation
к. м.н., доцент кафедры Общей хирургии с курсами эндоскопии и ухода за хирургическим больным
GEORGIJ LEPEKHIN
СПбГПМУ;
СПбГБУЗ «Городская Мариинская больница»
Russian Federation
Russian Federation
аспирант кафедры Общей хирургии с курсами эндоскопии и ухода за хирургическим больным;
г. Санкт-Петербург
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Review
For citations:
KOROLEV M., FEDOTOV L., Avanesyan R.G., LEPEKHIN G. Bilobar stenting for tumors of the intrahepatic bile ducts. Malignant tumours. 2015;(2):46-52. (In Russ.) https://doi.org/10.18027/2224-5057-2015-2-46-52
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