Minimally invasive therapy for elderly gastric carcinoma patients with malignant obstructive jaundice after gastrectomy

VernacularTitle:老年胃癌患者术后恶性梗阻性黄疸的微创治疗
Author: Min TANG ; Hailong LIU ; Yajun CHEN
Publication Type:Journal Article
Keywords: Cholestasis; Stomach neoplasms; Stents; Punctures; Aged
From: Chinese Journal of Primary Medicine and Pharmacy 2012;19(21):3204-3205
CountryChina
Language:Chinese
Abstract: Objective To explore the clinical of value minimally invasive therapy for elderly gastric carcinoma patients with malignant obstructive jaundice after gastrectomy in improving the survival quality.Methods 12 gastric caecinoma patients with malignant obstructive jaundice after gastrectomy were treated by percutaneous transhepatic cholangial drainage(PTCD) plus biliary stenting.Results 12 patients were successfully accomplished the procedure of bile duct puncture and stenting.The life quality of 11 patients was promoted in varying degrees proved by reduced jaundice and normalization with transaminase level.One patient died of cardiac failure in a week.The one-year survival rate was 25 ％ (3/12),tow-year survival rate was 8.3 ％ (1 / 12).Complications occurred in 25 ％ of patients,including 1 case of hemobilia,and 2 cases of cholangitis.Conclusion The minimally invasive therapy of PTCD plus biliary stenting provided safe and effective bile drainage for elderly patients with malignant obstructive jaundice.