Cholangioscopic microwave tissue coagulation (MTC) and recanalization of the bile duct with complete obstruction due to pancreatic carcinoma in the far advanced stage

• Ino-u-e Shigeaki

  Depart. of Surg., National Hospital Organization Aomori National Hosp.

• Endoh Masaaki

  Depart. of Surg., Aomori City Hosp.

• Fukushima Takashi

  Depart. of Surg., National Hospital Organization Aomori National Hosp.

• Nakadate Toshihiro

  Depart. of Surg., Mizusawa General Hosp.

• Ohsato Masayuki

  Depart. of Surg., Hachinohe City Hosp.

• Konn Akihide

  Depart. of Surg., Hachinohe City Hosp.

• Itoh Takao

  Itoh Clinic

• Shida Shoichi

  Kawakami Clinic

• Nakachi Hiromichi

  Ginowann Memorial Hosp.

• Narumi Syunnji

  Depart. of Digestive Surg., Hirosaki Univ.

• Hakamada Kennichi

  Depart. of Digestive Surg., Hirosaki Univ.

• Umehara Yutaka

  Depart. of Surg., Aomori Prefectural Central Hosp.

• Fukuyama Shouji

  Depart. of Surg., Aomori Prefectural Central Hosp.

• Hatazawa Chiaki

  Depart. of Surg., Aomori Prefectural Central Hosp.

• Segami Hideo

  Depart. of Surg., Aomori Prefectural Central Hosp.

• Seki Toshihito

  The 3rd Depart. of Internal Medicine, Kannsai Medical Univ.

• Tabuse Katsuyoshi

  Depart. of Surg., National Hospital Organization Osaka Minami Medical Center

抄録

In this report, we describe cases of jaundice patients with advanced-stage pancreatic carcinoma in whom recanalization of the bile duct with complete obstruction was achieved after MTC via percutaneous transhepatic cholangioscopy (PTCS), and suggest the utility of PTCS-MTC for the recanalization of complete obstruction of the bile duct due to pancreatic carcinoma in the far advanced stage. With repetitions of cholangioscopic MTC and gentle pushing a thin guide wire, we can usually get the wire pass through the obstructed bile duct. After then, stepwise dilation of the duct by use of covering tubes over the thin wire becomes possible. More often than not, the opposite side of the tip of PTCS catheter is the proper and correct position to begin the procedure of recanalization.

収録刊行物

• Ｊｏｕｒｎａｌ　ｏｆ　Ｍｉｃｒｏｗａｖｅ　Ｓｕｒｇｅｒｙ

  Ｊｏｕｒｎａｌ　ｏｆ　Ｍｉｃｒｏｗａｖｅ　Ｓｕｒｇｅｒｙ 30 (0), 53-59, 2012

  特定非営利活動法人 Microwave Surgery研究会

キーワード

• pancreatic carcinoma
• far advanced stage
• complete bile duct obstruction
• recanalization
• MTC (microwave tissue coagulation)

詳細情報

• CRID: 1390001205178911104
• NII論文ID: 130004678994
• DOI: 10.3380/jmicrowavesurg.30.53
• ISSN: 1882210X
• ISSN: 09177728
• Web Site: https://search.jamas.or.jp/link/ui/2013011574
• 本文言語コード: en
• 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