单通道双支架植入技术治疗肝门部胆管癌

Two stents insertion via single tract for treatment of hepatic hilar cholangiocarcinoma

目的 探讨单通道双支架植入技术治疗肝门部胆管癌的可行性和临床应用价值。方法 1 8例肝门部胆管癌患者 ,左、右肝管起始部狭窄或闭塞。采用右腋中线入路穿刺右肝管 ,用导丝寻找右肝管与左肝管和胆总管之间的潜在腔隙 ,于左右肝管间以及右肝管 胆总管间分别植入支架。结果 1 8例患者均从右腋中线穿刺通道成功植入右肝管 左肝管间及右肝管 胆总管间的支架 ,实现了胆汁经左肝管 右肝管 胆总管的完全内引流 ,解除梗阻疗效显著。结论 单通道双支架植入技术简化了高位胆管梗阻介入性引流的操作 ,减少了操作创伤 ,缩短了操作时间 。

Objective To evaluate the feasibility and clinical application of two stents insertion via single tract for treatment of hepatic hilar cholangiocarcinoma. Methods Eighteen patients with hepatic hilar cholangiocarcinoma who had left and right bile duct obstruction were treated with stents insertion via right bile duct puncturing routeway. These two stents were implanted between right and left bile duct, and between right bile duct and common bile duct. Results Eighteen patients obtained successful two stents placement by right bile duct puncturing tract and succeeded with internal drainage for all bilialy tree jaundice subsided distinctly. Conclusions The technique of two stents insertion via single tract could predigest interventional drainage procedure of high bile duct obstruction ,reduce operation trauma, shorten handling time and possese promising application value.