Silicon drain with channels along the sides for internal biliary stenting of hepaticojejunostomy in hepatic hilar malignancies

Background:  We compared two types of stents in patients who underwent surgery for hepatic hilar malignancies. Methods:  Twenty‐one patients with hepatic hilar malignancies who underwent hepatectomy were randomly assigned to one of two groups. A 5‐Fr silicon drain with an internal lumen and side hol...

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Bibliographic Details
Published in:Journal of gastroenterology and hepatology 2009-05, Vol.24 (5), p.752-756
Main Authors: Yoshida, Hiroshi, Mamada, Yasuhiro, Taniai, Nobuhiko, Mizuguchi, Yoshiaki, Kakinuma, Daisuke, Ishikawa, Yoshinori, Kanda, Tomohiro, Bando, Koichi, Akimaru, Koho, Tajiri, Takashi
Format: Article
Language:English
Subjects:
Aged
Alkaline Phosphatase - blood
Bile Ducts, Extrahepatic - surgery
Biliary Tract Neoplasms - surgery
Bilirubin - blood
Biological and medical sciences
Biomarkers - blood
cholangiocarcinoma
Cholangitis - blood
Cholangitis - etiology
Drainage - adverse effects
Drainage - instrumentation
Female
gallbladder carcinoma
Gallbladder Neoplasms - surgery
Gastroenterology. Liver. Pancreas. Abdomen
Hepatectomy
hepaticojejunostomy
Humans
internal biliary stenting
Jejunostomy - adverse effects
Jejunostomy - instrumentation
Liver, biliary tract, pancreas, portal circulation, spleen
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Prospective Studies
Prosthesis Design
Risk Assessment
Silicon
silicon drain
Stents
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Treatment Outcome
Tumors
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Summary:Background:  We compared two types of stents in patients who underwent surgery for hepatic hilar malignancies. Methods:  Twenty‐one patients with hepatic hilar malignancies who underwent hepatectomy were randomly assigned to one of two groups. A 5‐Fr silicon drain with an internal lumen and side holes was used for the hepaticojejunostomy in one group (intraluminal stent group), and a 10‐Fr silicon drain with channels along the sides was used in the other (channel stent group). Results:  Leakage developed in four patients (36.4%) in the intraluminal stent group versus two (20.0%) in the channel stent group. Cholangitis developed in three patients with leakage (27.3%) in the intraluminal stent group versus no patient in the channel stent group. After operation, the times required for the serum alkaline phosphatase and total bilirubin levels to return to the normal range were significantly shorter in the channel stent group (5.3 ± 2.9, 3.8 ± 2.2 days) than in the intraluminal stent group (17.0 ± 5.8, 9.4 ± 5.7 days) (P 
ISSN:0815-9319
1440-1746
DOI:10.1111/j.1440-1746.2009.05827.x