拡大肝右葉切除後の良性胆管狭窄に自己拡張型金属ステントが有効であった１例

• 鴨下 憲和

  下仁田厚生病院外科

• 堀井 吉雄

  下仁田厚生病院外科

• 大和田 進

  群馬大学第2外科

• 富沢 直樹

  群馬大学第2外科

• 竹吉 泉

  群馬大学第2外科

• 森下 靖雄

  群馬大学第2外科

書誌事項

タイトル別名

• SUCCESSFUL PLACEMENT OF AN EXPANDABLE METALLIC STENT FOR BENIGN BILE DUCT STRICTURES AFTER EXTENDED RIGHT HEPATECTOMY

抄録

The incidence of benign bile duct strictures after hepatic resection is 3-5% and treatment is difficult and controversial. We report a case of benign bile duct strictures after extended right hepatectomy for colonic metastasis successfully treated with an expandable metallic stent. A 71-year-old woman who underwent low anterior resection, right hemicolectomy, and extended right hepatectomy for rectal cancer, colon cancer, and a huge liver metastasis underwent a total of 170 g of fluoropyrimidines, and her liver function tests often fluctuated in the 3 years following surgery. Liver function tests were elevated and not resolute. Abdominal US and CT showed dilation of the intrahepatic bile duct with no metastasis to the liver or hepatic hilar lymph nodes. Perctaneous transhepatic cholangiographic drainage showed the bile duct stricture. Balloon dilation through PTCD was repeated with temporary success. An expandable metallic stent finally achieved the desired result, and the patient remains disease-free and well.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 65 (5), 1342-1345, 2004

  日本臨床外科学会

キーワード

• benign bile duct strictures
• an expandable metallic stent

詳細情報

• CRID: 1390001204844081536
• NII論文ID: 130003604073
• NII論文ID: 10013165844
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.65.1342
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/65/5/65_5_1342/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2004216252
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可