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Best options for preoperative biliary drainage in patients with Klatskin tumors

DC Field Value Language
dc.contributor.author박승우-
dc.contributor.author박정엽-
dc.contributor.author방승민-
dc.contributor.author송시영-
dc.contributor.author정문재-
dc.contributor.author정재복-
dc.contributor.author조중현-
dc.contributor.author한대훈-
dc.date.accessioned2017-11-02T08:35:35Z-
dc.date.available2017-11-02T08:35:35Z-
dc.date.issued2017-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/154652-
dc.description.abstractOperative treatment combined with PBD has been established as a safe management strategy for Klatskin tumors. However, controversy exists regarding the preferred technique for PBD among percutaneous transhepatic biliary drainage (PTBD), endoscopic biliary stenting (EBS), and endoscopic nasobiliary drainage (ENBD). This study aimed to identify the best technique for preoperative biliary drainage (PBD) in Klatskin tumor patients. METHODS: This study evaluated 98 Klatskin tumor patients who underwent PBD prior to operation with a curative aim between 2005 and 2012. The PTBD, EBS, and ENBD groups included 43, 42, and 13 patients, respectively. Baseline characteristics, technical success rate, complications of PBD, and surgical outcomes were compared. RESULTS: Initial technical success rates (97.3 %, PTBD; 90.2 %, endoscopic methods, including EBS and ENBD) and mean duration until biliary decompression (31.0, PTBD; 28.7, EBS; 35.8 days, ENBD) were not significantly different between the groups. Total frequency of complications did not significantly differ between the EBS group (42.9 %) and the PTBD (27.9 %, p = 0.149) and ENBD (15.4 %, p = 0.072) groups. The ENBD group showed a significantly higher rate of conversion to other methods (76.9 %) than the PTBD (4.7 %, p < 0.0001) and EBS (35.7 %, p = 0.009) groups. CONCLUSIONS: PTBD, EBS, and ENBD showed comparable results regarding initial technical success rates, complication rates, and surgical outcomes. As Klatskin tumor patients must undergo PBD prior to 3 weeks before surgery, PTBD and ENBD are uncomfortable and disadvantageous in terms of compliance. EBS was the most suitable method for initial PBD in terms of compliance among Klatskin tumor patients.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHBile Duct Neoplasms/complications-
dc.subject.MESHBile Duct Neoplasms/surgery*-
dc.subject.MESHCholestasis/etiology-
dc.subject.MESHCholestasis/surgery*-
dc.subject.MESHDecompression, Surgical-
dc.subject.MESHDrainage/methods*-
dc.subject.MESHEndoscopy/methods*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHKlatskin Tumor/complications-
dc.subject.MESHKlatskin Tumor/surgery*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPreoperative Care/methods*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStents*-
dc.titleBest options for preoperative biliary drainage in patients with Klatskin tumors-
dc.typeArticle-
dc.publisher.locationGermany-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorJung Hyun Jo-
dc.contributor.googleauthorMoon Jae Chung-
dc.contributor.googleauthorDai Hoon Han-
dc.contributor.googleauthorJeong Youp Park-
dc.contributor.googleauthorSeungmin Bang-
dc.contributor.googleauthorSeung Woo Park-
dc.contributor.googleauthorSi Young Song-
dc.contributor.googleauthorJae Bock Chung-
dc.identifier.doi10.1007/s00464-016-4993-8-
dc.contributor.localIdA01647-
dc.contributor.localIdA01786-
dc.contributor.localIdA02035-
dc.contributor.localIdA03602-
dc.contributor.localIdA03706-
dc.contributor.localIdA03912-
dc.contributor.localIdA04273-
dc.contributor.localIdA01551-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid27287904-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00464-016-4993-8-
dc.subject.keywordEndoscopic biliary stenting-
dc.subject.keywordEndoscopic nasobiliary drainage-
dc.subject.keywordKlatskin tumors-
dc.subject.keywordPercutaneous transhepatic biliary drainage-
dc.subject.keywordPreoperative biliary drainage-
dc.contributor.alternativeNamePark, Seung Woo-
dc.contributor.alternativeNamePark, Jeong Youp-
dc.contributor.alternativeNameBang, Seung Min-
dc.contributor.alternativeNameSong, Si Young-
dc.contributor.alternativeNameChung, Moon Jae-
dc.contributor.alternativeNameChung, Jae Bock-
dc.contributor.alternativeNameJo, Jung Hyun-
dc.contributor.alternativeNameHan, Dai Hoon-
dc.contributor.affiliatedAuthorPark, Jeong Youp-
dc.contributor.affiliatedAuthorBang, Seung Min-
dc.contributor.affiliatedAuthorSong, Si Young-
dc.contributor.affiliatedAuthorChung, Moon Jae-
dc.contributor.affiliatedAuthorChung, Jae Bock-
dc.contributor.affiliatedAuthorJo, Jung Hyun-
dc.contributor.affiliatedAuthorHan, Dai Hoon-
dc.contributor.affiliatedAuthorPark, Seung Woo-
dc.citation.titleSurgical Endoscopy-
dc.citation.volume31-
dc.citation.number1-
dc.citation.startPage422-
dc.citation.endPage429-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.31(1) : 422-429, 2017-
dc.date.modified2017-11-01-
dc.identifier.rimsid43710-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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