Year 2020 / Volume 112 / Number 12
Original
Percutaneous transhepatic cholangiography and drainage and endoscopic retrograde cholangiopancreatograph for hilar cholangiocarcinoma: which one is preferred?

893-897

DOI: 10.17235/reed.2020.6937/2020

Jianghong Zhu, Huang Feng, Deqing Zhang, Rui Li, Jing Li, Hongwei Peng, Wen Tang, Duanmin Hu, Wei Wu, Kewei Hu, Wei Cai, Guojian Yin,

Abstract
Introduction: both percutaneous transhepatic cholangiography and drainage (PTCD) and endoscopic retrograde cholangiopancreatography (ERCP) with SEMS implantation have been used for unresectable hilar cholangiocarcinoma (HC) in the clinic for many years. However, which one is preferred is still unknown. Objective: to study the effects of biliary drainage of self-expanding metal stents (SEMS) implantation under PTCD or ERCP to treat HC. Methods: the clinical data of 82 patients with HC from January 2006 to January 2015 were recorded retrospectively. Patients were treated with biliary implantation of self-expanding metal stents (SEMS) under PTCD (PTCD group, 40 patients) or ERCP (ERCP group, 42 patients). Clinical data, including total bilirubin concentrations, complications and survival time were analyzed. Results: the remission of jaundice was similar in both groups (p > 0.05). The median survival time of the ERCP group and PTCD group were 237 d and 252 d respectively, with no significant differences (p > 0.05). The biliary infection rates under ERCP and PTCD procedure were 52.4 % and 20.0 % respectively, with a significant statistical difference (p < 0.05). For those HC patients of Bismuth III/IV, the infection rates under ERCP and PTCD procedure were 58.3 % and 14.3 %, respectively (p < 0.05). Conclusions: both PTCD and ERCP with SEMS implantation were effective to prolong the survival time of HC patients. The biliary infection rates were higher in the ERCP group, especially for Bismuth III/IV HC patients.
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Zhu J, Feng H, Zhang D, Li R, Li J, Peng H, et all. Percutaneous transhepatic cholangiography and drainage and endoscopic retrograde cholangiopancreatograph for hilar cholangiocarcinoma: which one is preferred?. 6937/2020


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Publication history

Received: 03/02/2020

Accepted: 28/03/2020

Online First: 29/10/2020

Published: 09/12/2020

Article revision time: 38 days

Article Online First time: 269 days

Article editing time: 310 days


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