Application of accurate endoscopic retrograde cholangiopancreatography drainage to preoperative jaundice reduction for hilar cholangiocarcinoma
10.3760/cma.j.cn321463-20200320-00217
- VernacularTitle:精准经内镜逆行胰胆管引流术在肝门部胆管癌术前减黄中的应用
- Author:
Yi WANG
1
;
Xiang ZHANG
;
Qibin HE
;
Liang MAO
;
Yudong QIU
;
Lei WANG
;
Xiaoping ZOU
Author Information
1. 南京大学医学院附属鼓楼医院消化内科 210008
- Keywords:
Klatskin tumor;
Endoscopic drainage;
Nosal bile duct;
Accurate drainage
- From:
Chinese Journal of Digestive Endoscopy
2021;38(8):619-623
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application of accurate endoscopic retrograde cholangiopancreatography (ERCP)drainage guided by IQQA ?-Liver CT(an image interpretation and analysis system)to preoperative jaundice reduction for hilar cholangiocarcinoma. Methods:Data of 12 patients with hilar cholangiocarcinoma who planned to receive surgical treatment in the hepatobiliary surgery department of Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School from May 2017 to December 2018 were reviewed. All patients were treated with ERCP drainage before surgery. The procedure success rate, postoperative drainage volume and postoperative complications of the patients were analyzed.Results:ERCP was successful in all patients, and the median daily volume of endoscopic nasobiliary drainage was 675 mL(400-1 500 mL). Only 1 patient developed postoperative cholangitis, and another patient developed postoperative mild pancreatitis. The mean serum total bilirubin was 173.3±62.8 μmol/L in the patients before ERCP, which decreased to 35.6±13.9 μmol/L before surgery.Conclusion:Accurate ERCP drainage can effectively reduce the serum bilirubin level in patients with hilar cholangiocarcinoma and reduce the incidence of cholangitis after the procedure, creating favorable conditions for subsequent surgical operations.
