|
|
Hokkaido University Collection of Scholarly and Academic Papers >
Hokkaido University Hospital >
Peer-reviewed Journal Articles, etc >
Clinical Outcomes of Biliary Drainage during a Neoadjuvant Therapy for Pancreatic Cancer: Metal versus Plastic Stents
This item is licensed under:Creative Commons Attribution-NonCommercial 4.0 International
| Title: | Clinical Outcomes of Biliary Drainage during a Neoadjuvant Therapy for Pancreatic Cancer: Metal versus Plastic Stents |
| Authors: | Kuwatani, Masaki Browse this author →KAKEN DB | | Nakamura, Toru Browse this author →KAKEN DB | | Hayashi, Tsuyoshi Browse this author | | Kimura, Yasutoshi Browse this author →KAKEN DB | | Ono, Michihiro Browse this author →KAKEN DB | | Motoya, Masayo Browse this author →KAKEN DB | | Imai, Koji Browse this author | | Yamakita, Keisuke Browse this author | | Goto, Takuma Browse this author →KAKEN DB | | Takahashi, Kuniyuki Browse this author | | Maguchi, Hiroyuki Browse this author | | Hirano, Satoshi Browse this author →KAKEN DB |
| Keywords: | Pancreatic neoplasms | | Chemotherapy | | Chemoradiotherapy | | Jaundice | | Stent |
| Issue Date: | Mar-2020 |
| Publisher: | Editorial Office of Gut and Liver |
| Journal Title: | Gut and Liver |
| Volume: | 14 |
| Issue: | 2 |
| Start Page: | 269 |
| End Page: | 273 |
| Publisher DOI: | 10.5009/gnl18573 |
| Abstract: | Neoadjuvant chemotherapy/neoadjuvant chemoradiotherapy (NAC/NACRT) can be performed in patients with pancreatic cancer to improve survival. We aimed to clarify the clinical outcomes of biliary drainage with a metal stent (MS) or a plastic stent (PS) during NAC/NACRT. Between October 2013 and April 2016, 96 patients with pancreatic cancer were registered for NAC/NACRT. Of these, 29 patients who underwent biliary drainage with MS or PS before NAC/NACRT and a subsequent pancreatoduodenectomy were retrospectively analyzed with regard to patient characteristics, preoperative recurrent biliary obstruction rate, NAC/NACRT delay or discontinuation rate, and operative characteristics. The median age of the patients was 67 years. NAC and NACRT were performed in 14 and 15 patients, respectively, and MS and PS were used in 17 and 12 patients, respectively. Recurrent biliary obstruction occurred in 6% and 83% of the patients in the MS and PS groups, respectively (p<0.001). NAC/NACRT delay was observed in 35% and 50% of the patients in the MS and PS groups, respectively (p=0.680). NAC/NACRT discontinuation was observed in 12% and 17% of the patients in the MS and PS groups, respectively (p=1.000). The operative time in the MS group tended to be longer than that in the PS group (625 minutes vs 497 minutes, p=0.051), and the operative blood loss volumes and postoperative adverse event rates were not different between the two groups. MS was better than PS from the viewpoint of preventing recurrent biliary obstruction, although MS was similar to PS with regards to perioperative outcomes. |
| Rights: | http://creativecommons.org/licenses/by-nc/4.0 |
| Type: | article |
| URI: | http://hdl.handle.net/2115/77822 |
| Appears in Collections: | 北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
|
|
