Clinical Outcomes of Biliary Drainage during a Neoadjuvant Therapy for Pancreatic Cancer: Metal versus Plastic Stents

Kuwatani, Masaki; Nakamura, Toru; Hayashi, Tsuyoshi; Kimura, Yasutoshi; Ono, Michihiro; Motoya, Masayo; Imai, Koji; Yamakita, Keisuke; Goto, Takuma; Takahashi, Kuniyuki; Maguchi, Hiroyuki; Hirano, Satoshi

Clinical Outcomes of Biliary Drainage during a Neoadjuvant Therapy for Pancreatic Cancer: Metal versus Plastic Stents

Kuwatani, Masaki; Nakamura, Toru; Hayashi, Tsuyoshi et al.

Gut and Liver, 2020, 14(2), 269-273

Permalink : https://hdl.handle.net/2115/77822

このアイテムのアクセス数:568件（2026-08-19 18:50 集計）

閲覧可能ファイル

ファイル	フォーマット	サイズ	閲覧回数	説明
https://doi.org/10.5009/gnl18573			11

論文情報

ファイル出力 EndNote Basic出力 Mendeley出力

アクセス権	open access
URI	https://hdl.handle.net/2115/77822
タイトル	Clinical Outcomes of Biliary Drainage during a Neoadjuvant Therapy for Pancreatic Cancer: Metal versus Plastic Stents
著者	Kuwatani, Masaki ; Nakamura, Toru ; Hayashi, Tsuyoshi ; Kimura, Yasutoshi ; Ono, Michihiro ; Motoya, Masayo ; Imai, Koji ; Yamakita, Keisuke ; Goto, Takuma ; Takahashi, Kuniyuki ; Maguchi, Hiroyuki ; Hirano, Satoshi
e-Rad_Researcher 50431375 著者名 Kuwatani, Masaki
e-Rad_Researcher 70645796 著者名 Nakamura, Toru
著者名 Hayashi, Tsuyoshi
e-Rad_Researcher 80311893 著者名 Kimura, Yasutoshi
e-Rad_Researcher 80634675 著者名 Ono, Michihiro
e-Rad_Researcher 60468080 著者名 Motoya, Masayo
著者名 Imai, Koji
著者名 Yamakita, Keisuke
e-Rad_Researcher 50646007 著者名 Goto, Takuma
著者名 Takahashi, Kuniyuki
著者名 Maguchi, Hiroyuki
e-Rad_Researcher 50322813 著者名 Hirano, Satoshi
言語	英語
キーワード	Pancreatic neoplasms
	Chemotherapy
	Chemoradiotherapy
	Jaundice
	Stent
発行日	2020-03
出版者	Editorial Office of Gut and Liver
収録物名	Gut and Liver
巻(号)	14(2)
ページ	269-273
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
権利情報	Creative Commons Attribution-NonCommercial 4.0 International
PISSN	1976-2283
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.5009/gnl18573