Placement of metallic biliary endoprostheses in complex hilar tumours - 16/10/12

Doi : 10.1016/j.diii.2012.05.014

M. Maillard ^a,^⁎ , S. Novellas ^b, G. Baudin ^a, L. Evesque ^c, L. Bellmann ^a, J. Gugenheim ^d, P. Chevallier ^a
^a Department of medical imaging, centre hospitalier régional et universitaire de Nice, hôpital L’Archet-2, 151, route Saint-Antoine-de-Ginestière, BP 3079, 06202 Nice cedex 3, France
^b Institut Arnault-Tzanck, avenue du Docteur-Maurice-Donat, 06721 Saint-Laurent-du-Var, France
^c Hepatogastroenterology department, centre hospitalier régional et universitaire de Nice, hôpital L’Archet-2, 151, route Saint-Antoine-de-Ginestière, BP 3079, 06202 Nice cedex 3, France
^d Digestive surgery department, centre hospitalier régional et universitaire de Nice, hôpital L’Archet-2, 151, route Saint-Antoine-de-Ginestière, BP 3079, 06202 Nice cedex 3, France

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Abstract

Purpose

To assess the technical success, clinical success and complications after 1 month of percutaneous biliary drainage with the placement of several metallic endoprostheses in complex hilar liver tumours.

Materials and methods

This is a retrospective study, on a homogenous target population of 68 consecutive patients, who underwent multiple percutaneous biliary drainage for complex hilar tumour (Bismuth type II, III and IV) between August 1998 and August 2010. Patients benefiting from previous endoscopic drainage were excluded from the study. The clinical data, biological data, imaging and interventional radiology procedures were studied.

Results

The rate of success of the technique was 98.5% and the clinical rate of success was 84% after 1 week and 93% after 1 month. The rate of minor and major complications was 25 and 13% respectively.

Conclusion

Multiple percutaneous biliary drainage in complex hilar tumour is a safe and effective first intention procedure.

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Keywords : Percutaneous biliary drainage, Hilar cholangiocarcinoma, Hilar tumour, Endoprosthesis, Interventional radiology

Plan

Materials and methods

Aetiology and classification of hilar obstructions according to Bismuth

Success of the technique

Clinical success

Predictive factors of failure

Complications

Discussion

Conclusion

Disclosure of interest

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Vol 93 - N° 10

P. 767-774 - octobre 2012 Retour au numéro

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Placement of metallic biliary endoprostheses in complex hilar tumours - 16/10/12

Abstract

Purpose

Materials and methods

Results

Conclusion

Plan

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