RESULTS OF PERCUTANEOUS ENDOBILIARY DECOMPRESSON SURGERY IN PATIENTS WITH CANCER-INDUCED OBSTRUCTIVE JAUNDICE

Abstract

Aim. To compare the rate of cholestasis resolution after either percutaneous cholangiostomy or percutaneous transhepatic cholecystostomy. Materials and Methods. We recruited 125 consecutive patients with mechanical jaundice due to pancreatic cancer and divided them into two groups: 1) those who underwent percutaneous cholangiostomy (n = 65); 2) those who underwent percutaneous transhepatic cholecystostomy 60 patients, following daily measurements of serum bilirubin level during two weeks. Results. We did not find any significant differences in patients with mild jaundice. However, percutaneous transhepatic cholecystostomy led to the faster rate of jaundice resolution in patients with serum bilirubin > 100 μmol/L. Conclusions. Percutaneous transhepatic cholecystostomy has an edge over percutaneous cholangiostomy as a method of endobiliary decompression surgery in the patients with moderate to severe cancer-induced obstructive jaundice.

Keywords

• опухоль головки поджелудочной железы
• механическая желтуха
• микрохолецистостома
• холангиостома
• pancreatic cancer
• obstructive jaundice
• cholecystostomy
• cholangiostomy