<症例>切除不能胆管細胞性肝癌に対してPermanent Tube挿入により黄疸軽減を試みた1例

概要

論文の詳細を見る
A 63-year-old male developing obstructive jaundice due to unresectable cholangioma was treated with insertion of a prosthesis. The neoplasm occupied the left hepatic lobe and infiltrated to porta hepatis. An arm-shortened T tube was placed between the dilated right hepatic duct and the duodenum by blunt dissection through the constricted common duct for the purpose of permanent internal biliary fistula. After 70 days of subsidance, jaundice reappeared and the patient died at postoperative 135th day. Autopsy revealed effective decompression of the biliary ductal system in the right hepatic region, but many sediments occluded the lumen of inserted T tube. Multiple hepatic abscess due to this occlusion may be the cause of worsening of the patient.
近畿大学の論文
1979-12-25