Diagnostic radiological imaging and percutaneous treatment of malignant biliary tumors

被引：0
作者：
Radeleff, B. A. [1 ]
Stampfl, U. [1 ]
Sommer, C. [1 ]
Bellemann, N. [1 ]
Sauer, P. [2 ]
Ganten, M. [3 ]
Kauczor, H. -U. [1 ]
机构：
[1] Univ Klinikum Heidelberg, D-69120 Heidelberg, Germany
[2] Univ Klinikum Heidelberg, Med Klin, Interdisziplinares Endoskopie Zentrum, Heidelberg, Germany
[3] Deutsch Krebsforschungszentrum, Abt Radiol, Forschungsschwerpunkt Onkolog Diagnost & Therapie, Heidelberg, Germany
来源：
ONKOLOGE | 2010年 / 16卷 / 09期
关键词：
Cholangiocarcinoma; Jaundice; Cholangiography; Drainage; Stent; BILE-DUCT OBSTRUCTION; MULTISLICE CT CHOLANGIOGRAPHY; PROSPECTIVE RANDOMIZED-TRIAL; METAL STENTS; POLYETHYLENE STENTS; PREOPERATIVE EVALUATION; PALLIATIVE TREATMENT; PLASTIC STENTS; COVERED METAL; FOLLOW-UP;
D O I：
10.1007/s00761-010-1880-0
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
This article gives a review of the current value of radiological diagnostics and interventions for malignant stenoses of the bile pathways. Malignant stenoses are mostly caused by cholangiocellular carcinoma, Klatskin's tumor, gall bladder carcinoma or pancreatic carcinoma. Percutaneous biliary drainage and stent positioning generally for generally incurable patients (curative approach only possible in 10-20%) is an uncomplicated procedure for an experienced surgical radiologist and is technically very successful with a success rate of 95-100% (for puncture, recanalization and stent positioning). This approach is indicated when a transpapillary endoscopic access is not possible, as for example following previous operative interventions or very hard hilar obstructions. Nowadays the morbidity and mortality are comparable to endoscopy due to the technical improvements in percutaneous interventions.
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页码：862 / +
页数：10
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