Traitement de la sténose biliaire par prothèse métallique
| Autor: | Thierry Yzet, François Mauvais, E. Vibert, J.L. Dupas, J.-M. Regimbeau, Richard Delcenserie, Denis Chatelain, Franck Brazier |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Common bile duct business.industry medicine.medical_treatment Stent equipment and supplies Primary lesion Surgery Resection surgical procedures operative medicine.anatomical_structure Biliary stenosis medicine Plastic stent cardiovascular diseases Hepatectomy business Hepatic Ducts |
| Zdroj: | Journal de Chirurgie. 141:355-359 |
| ISSN: | 0021-7697 |
| DOI: | 10.1016/s0021-7697(04)95359-8 |
| Popis: | A patient presented with a cholangiocarcinoma of the common bile duct; it was initially considered unresectable leading to the placement of the metallic stent whose upper end extended beyond the convergence of the hepatic ducts. The metallic biliary stent became obstructed and so encrusted as to be unremovable; the patient required a left hepatectomy with resection of the stent and the biliary convergence in addition to a pancreatoduodenectomy in order to resect his primary lesion This difficult situation emphasizes that, whenever there is doubt as to the resectability of a biliary lesion, the decision to place a metallic stent should be the fruit of a thorough medico-surgical discussion; where there is any doubt, a plastic stent which is more easily removable should be placed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|