Open AccessUnilateral multiple metallic stent-in-stent for a case of hilar biliary cancer: An alternative stenting strategy
Author(s) -
Hiroyuki Matsubayashi,
Yoshihiro Kishida,
Kenichiro Imai,
Kinichi Hotta,
Naomi Kakushima,
Masaki Tanaka,
Kohei Takizawa,
Hiroyuki Ono
Publication year - 2014
Publication title -
the saudi journal of gastroenterology/saudi journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.608
H-Index - 32
eISSN - 1998-4049
pISSN - 1319-3767
DOI - 10.4103/1319-3767.133035
Subject(s) - medicine , stent , biliary drainage , radiology , portal vein , biliary stent , bile duct , surgery
The stenting strategy has been discussed in cases with unresectable hilar bile duct cancer (HBDC). We describe here a case of HBDC, 4 cm in size, invading the right portal vein and hepatic artery, which was only treated with repeated metallic stent placement, and the patient survived for a long period (51 months). Against Bismuth type-IV hilar biliary stricture, our strategy was to maintain the drainage of the largest, viable hepatic area (>50% of total liver) by unilateral multiple stent-in-stent.