Application of percutaneous transhepatic cholangial drainage and percutaneous transhepatic cholangial stent implantion in treating malignant biliary obstruction in elderly patients

VernacularTitle:经皮肝穿刺胆管引流和经皮肝穿刺胆管支架置入治疗老年人恶性胆管梗阻
Author: Linbo ZHANG ; Haishan YANG ; Shu CAO ; Sheng FAN ; Ying QIN ; Qingyu LIU
Publication Type:Journal Article
Keywords: Neoplasms; Cholestasis; Drainage; Aged
From: Tumor 2010;(2):152-155
CountryChina
Language:Chinese
Abstract: Objective:To evaluate the clinical value of percutaneous transhepatic cholangial drainage (PTCD) and percutaneous transhepatic cholangial stent(PTCS)implantation therapy for malignant biliary obstruction in the elderly patients.Methods:Fifty three patients over 60 years-old were treated with PTCS implantation (n=35),PTCD for internal-external drainage(n=11),or single external drainage(n=7). The imaging examination was performed for all the patients one week after surgery. The serum levels of total bilirubin (TBIL) and alanine aminotransferase (ALT) were detected before and after surgery.Rusults:Metallic stents were successfully implanted in 32 patients during the surgery, and 3 patients were implanted 5 to 7 days later after PTCS. Both total serum levels of TBIL and ALT were significantly decreased at one week after surgery (P<0.05). The mean survival periods were 11.5 months for stent implantation patients and 5.5 months for PTCD patients. Conclusion:PTCD and PTCS are easy to perform and safe and effective in the treatment of malignant biliary obstruction of elderly patients.