膵胆道癌に対する内視鏡的マイクロ波凝固療法

概要

論文の詳細を見る
Endoscopic microwave coagulation therapy (EMCT) was performed the pancreato-biliary carcinoma with malignant biliary obstruction. There were 10 cases (mean age 71.7 yr) including 6 of bile duct carcinoma, 2 cases of carcinoma of the gallbladder and pancreas, 2 cases of the carcinoma of the Vater papilla. The microwave irradiation of 50W / 10-second or 40W / 15-second was delivered to the carcinoma under cholangioscopy or duodenoscopy. Patency of the biliary obstruction was achieved in all cases after the treatment, and no severe complications were encountered. There out of 7 cases survived for more than one year without jaundice. The present study suggests that EMCT has a beneficial effect on maintaining patency of the bile duct for the treatment of malignant biliary obstruction, resulting in prolonging the patient survival.