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Preoperative Biliary Drainage in Cases of Borderline Resectable Pancreatic Cancer Treated with Neoadjuvant Chemotherapy and Surgery
Joint Authors
Chayama, Kazuaki
Sasaki, Tamito
Serikawa, Masahiro
Ishii, Yasutaka
Mouri, Teruo
Shimizu, Akinori
Tsuboi, Tomofumi
Kurihara, Keisuke
Tatsukawa, Yumiko
Miyaki, Eisuke
Kawamura, Ryota
Tsushima, Ken
Murakami, Yoshiaki
Uemura, Kenichiro
Source
Gastroenterology Research and Practice
Issue
Vol. 2016, Issue 2016 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-06
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To elucidate the optimum preoperative biliary drainage method for patients with pancreatic cancer treated with neoadjuvant chemotherapy (NAC).
Material and Methods.
From January 2010 through December 2014, 20 patients with borderline resectable pancreatic cancer underwent preoperative biliary drainage and NAC with a plastic or metallic stent and received NAC at Hiroshima University Hospital.
We retrospectively analyzed delayed NAC and complication rates due to biliary drainage, effect of stent type on perioperative factors, and hospitalization costs from diagnosis to surgery.
Results.
There were 11 cases of preoperative biliary drainage with plastic stents and nine metallic stents.
The median age was 64.5 years; delayed NAC occurred in 9 cases with plastic stent and 1 case with metallic stent ( p = 0.01 ).
The complication rates due to biliary drainage were 0% (0/9) with metallic stents and 72.7% (8/11) with plastic stents ( p = 0.01 ).
Cumulative rates of complications determined with the Kaplan-Meier method on day 90 were 60% with plastic stents and 0% with metallic stents (log-rank test, p = 0 .
012 ).
There were no significant differences between group in perioperative factors or hospitalization costs from diagnosis to surgery.
Conclusions.
Metallic stent implantation may be effective for preoperative biliary drainage for pancreatic cancer treated with NAC.
American Psychological Association (APA)
Tsuboi, Tomofumi& Sasaki, Tamito& Serikawa, Masahiro& Ishii, Yasutaka& Mouri, Teruo& Shimizu, Akinori…[et al.]. 2016. Preoperative Biliary Drainage in Cases of Borderline Resectable Pancreatic Cancer Treated with Neoadjuvant Chemotherapy and Surgery. Gastroenterology Research and Practice،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1104798
Modern Language Association (MLA)
Tsuboi, Tomofumi…[et al.]. Preoperative Biliary Drainage in Cases of Borderline Resectable Pancreatic Cancer Treated with Neoadjuvant Chemotherapy and Surgery. Gastroenterology Research and Practice Vol. 2016, no. 2016 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1104798
American Medical Association (AMA)
Tsuboi, Tomofumi& Sasaki, Tamito& Serikawa, Masahiro& Ishii, Yasutaka& Mouri, Teruo& Shimizu, Akinori…[et al.]. Preoperative Biliary Drainage in Cases of Borderline Resectable Pancreatic Cancer Treated with Neoadjuvant Chemotherapy and Surgery. Gastroenterology Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1104798
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1104798