Palliative decompression of obstructive hilar malignancies utilizing an extrahilar biliary approach

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dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridKatz, Daniel/0000-0002-6495-0078
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.contributor.authorYilmaz, S
dc.contributor.authorKirimlioglu, V
dc.contributor.authorKatz, DA
dc.contributor.authorCaglikulekci, M
dc.contributor.authorYilmaz, M
dc.date.accessioned2024-08-04T20:12:07Z
dc.date.available2024-08-04T20:12:07Z
dc.date.issued2000
dc.departmentİnönü Üniversitesien_US
dc.description.abstractHilar cancers carry a dismal prognosis. Palliation of obstructive jaundice in patients with hilar cancer can be achieved by either surgical or nonsurgical means. Selection of the appropriate palliative measures is a challenging problem. Segmental bilioenteric anastomosis procedures were performed on 19 patients with hilar cancer. Seventeen of the bypasses were done to the segment III duct, known as the ligamentum teres approach, and two bypasses were to the segment V duct. Five patients, who had already been stented percutaneously or endoscopically, were operated on after the stents were clogged and a duodenal obstruction ensued. There were two postoperative deaths (10.5%) and four postoperative complications (21%). All of the 17 surviving patients experienced improvement in the level of jaundice postoperatively and the levels of serum total and direct bilirubin decreased by 78.9% and 84.2%, respectively. Two patients developed late cholangitis before death and were treated by external biliary drainage; one developed duodenal obstruction and was treated by gastrointestinal anastomosis. The mean length of hospital stay was 15.2 days. Mean survival was 8.2 months and the mean period of well-being was 7.8 months. Median survival was 7 months and median period of well being was 7 months. Three patients are still alive at 8, 8, and 24 months. These data suggest that the ligamentum teres approach offers effective palliation for patients with unresectable hilar cancer.en_US
dc.identifier.doi10.1023/A:1005569128877
dc.identifier.endpage1593en_US
dc.identifier.issn0163-2116
dc.identifier.issn1573-2568
dc.identifier.issue8en_US
dc.identifier.pmid11007110en_US
dc.identifier.scopus2-s2.0-0033831205en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1585en_US
dc.identifier.urihttps://doi.org/10.1023/A:1005569128877
dc.identifier.urihttps://hdl.handle.net/11616/93227
dc.identifier.volume45en_US
dc.identifier.wosWOS:000089429200015en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofDigestive Diseases and Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcholangiojejunostomyen_US
dc.subjectmalignant hilar obstructionen_US
dc.subjectsegment III ducten_US
dc.subjectligamentum teres approachen_US
dc.titlePalliative decompression of obstructive hilar malignancies utilizing an extrahilar biliary approachen_US
dc.typeArticleen_US

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