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LASER THERAPY FOR MULTIPLE BlLlARY PAPILLOMATOSIS VIA CHOLEDOCHOSCOPY
Author(s) -
Meng W. C. S.,
Lau W. Y.,
Choit C. L.,
Li A. K. C.
Publication year - 1997
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1997.tb04620.x
Subject(s) - medicine , papillomatosis , ablation , biliary tract , laser therapy , ablation therapy , radiology , cholangiography , laser ablation , surgery , laser , pathology , cancer , optics , physics , prostate cancer
Background: Multiple biliary papillomatosis is a rare tumour of the biliary tract but is capable of multicentric malignanttransformation. The complete removal of these tumours is difficult because it involves a field change of the biliary tract. Methods: Exploration with choledochoscopy is a prerequisite for thorough assessment of the extent of involvement. Incorporation of laser ablation via a laser‐delivering fibre with choledochoscopy permits complete removal of the tumour. Results: Repeated laser therapy via choledochoscopy through the T‐tube tract enables complete ablation of the tumour which changes the outlook of the prognosis. This is confirmed on subsequent cholangiography. Conclusions: Laser therapy via choledochoscopy is a satisfactory mode of treatment for multiple biliary papillomatosis. It enables complete and precise ablation of the tumour which certainly changes the prognosis of this condition.