Different percutaneous transhepatic biliary stent placements and catheter drainage in the treatment of middle and low malignant biliary obstruction

作     者：Yao-Bo Yang Zhao-Yong Yan Yang Jiao Wei-Hao Yang Qi Cui Si-Pan Chen 

作者机构：Department of Interventional RadiologyShaanxi Provincial People’s HospitalXi’an 710068Shaanxi ProvinceChina 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2023年第15卷第7期

页      面：1397-1404页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Biliary obstruction Puncture route Stent placement Survival rate Malignant tumor Digestive tract 

摘      要：BACKGROUND For cases of middle and low biliary obstruction with left and right hepatic duct dilatation,the type of approach and whether different approaches affect the difficulty of puncture operation and intraoperative and postoperative complications have not been discussed in *** To compare the efficacy of different percutaneous transhepatic biliary stent placements and catheter drainage in treating middle and low biliary *** A retrospective analysis was performed on the medical records of 424 patients with middle and low biliary obstruction who underwent percutaneous liver puncture biliary stent placement and catheter drainage at the Department of Interventional Radiology,Shaanxi Provincial People’s Hospital between March 2016 and March *** on the puncture path,patients were categorized into two groups:Subxiphoid left hepatic lobe approach group(Group A,224 cases)and right intercostal,right hepatic lobe approach group(Group B,200 cases).Liver function improvement,postoperative biliary bleeding incidence,postoperative pain duration,and abdominal effusion leakage around the drainage tube were compared between the two groups at 3 d and 1 wk after the *** survival time was recorded during *** All 424 surgeries were successful without adverse *** A comprised 224 cases,and Group B had 200 *** was no statistically significant difference in basic data between Group A and Group B(P0.05).No significant difference in postoperative biliary bleeding incidence was observed between the groups(P0.05).The decreased rates for total bilirubin(Group A:69.23±4.50,Group B:63.79±5.65),direct bilirubin(Group A:79.30±11.19,Group B:63.62±5.64),and alkaline phosphatase(Group A:60.51±12.23,Group B:42.68±23.56)in the 1st wk after surgery were significantly faster in Group A than in Group *** decreased rate of gamma-glutamyl transpeptidase was also significantly faster in Group A at both 3 d(Group A:40.56±10.32,Group