One-channel double stent implantation for hilar biliary obstructions

Cao,Guangshao; Cao,Huicun; Liu,Jian; Wang,Yudan; Wang,Zhenyu

doi:10.3892/etm.2013.921

One-channel double stent implantation for hilar biliary obstructions

Authors:
- Guangshao Cao
- Huicun Cao
- Jian Liu
- Yudan Wang
- Zhenyu Wang
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Affiliations: Interventional Department, Henan Provincial People's Hospital, Zhengzhou, Henan 450003, P.R. China
Published online on: January 23, 2013 https://doi.org/10.3892/etm.2013.921
Pages: 1179-1183

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Abstract

The aim of this study was to evaluate the effect of percutaneous one-channel double stent implantation on hilar biliary obstruction involving both hepatic ducts and its clinical value. A total of 8 patients with hilar biliary obstruction involving the left and right hepatic ducts were enrolled. A percutaneous unilateral approach was adopted. Two stents were implanted, one between the left and right hepatic ducts and the other between the hepatic ducts and the common bile duct for biliary drainage. Interventional therapies such as arterial chemoembolization were performed for antitumor treatment. All surgical procedures were successfully accomplished. At 2 weeks after stenting, total bilirubin decreased to 61.2±13.4 µmol/l (the preoperative value was 267.1±154.7 µmol/l). No severe complications or mortalities occurred. Single-channel double stent implantation should be the preferred method of treatment for patients with hilar biliary obstruction involving both hepatic ducts. Drainage and antitumor treatment should also be used when necessary.

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