Evidence map›Paper›PMID 37555122›Full record

ArticleWorld journal of gastrointestinal surgery2023

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

Yao-Bo Yang, Zhao-Yong Yan, Yang Jiao, Wei-Hao Yang, Qi Cui, Si-Pan Chen

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Article in World journal of gastrointestinal surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Yao-Bo YangDepartment of Interventional Radiology, Shaanxi Provincial People's Hospital, Xi'an 710068, Shaanxi Province, China.
Zhao-Yong YanDepartment of Interventional Radiology, Shaanxi Provincial People's Hospital, Xi'an 710068, Shaanxi Province, China.
Yang JiaoDepartment of Interventional Radiology, Shaanxi Provincial People's Hospital, Xi'an 710068, Shaanxi Province, China.
Wei-Hao YangDepartment of Interventional Radiology, Shaanxi Provincial People's Hospital, Xi'an 710068, Shaanxi Province, China.
Qi CuiDepartment of Interventional Radiology, Shaanxi Provincial People's Hospital, Xi'an 710068, Shaanxi Province, China.
Si-Pan ChenDepartment of Interventional Radiology, Shaanxi Provincial People's Hospital, Xi'an 710068, Shaanxi Province, China. panda_spph@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor 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 detail.

aimTo compare the efficacy of different percutaneous transhepatic biliary stent placements and catheter drainage in treating middle and low biliary obstruction.

methodsA 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 2022. Based 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 surgery. Patient survival time was recorded during follow-up.

resultsAll 424 surgeries were successful without adverse events. Group A comprised 224 cases, and Group B had 200 cases. There was no statistically significant difference in basic data between Group A and Group B (

conclusionIn treating jaundice patients with middle and low biliary obstruction, a percutaneous left liver puncture demonstrated better clinical efficacy than a percutaneous right liver puncture.

Indexed as

Biliary obstructionDigestive tractMalignant tumorPuncture routeStent placementSurvival rate

Identifiers

PMID37555122
PMCPMC10405108

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