scholarly journals Study on resected cases of hilar bile duct carcinoma in terms of the status of lymph node metastasis.

Author(s):  
Tadanori ISHIKAWA ◽  
Tadashi HORIMI ◽  
Takahiro OKABAYASHI ◽  
Junichi ICHIKAWA ◽  
Yutaka NISHIOKA ◽  
...  
2006 ◽  
Vol 32 (2) ◽  
pp. 208-212 ◽  
Author(s):  
K. Taniguchi ◽  
M. Tabata ◽  
T. Iida ◽  
T. Hori ◽  
S. Yagi ◽  
...  

2011 ◽  
Vol 29 (4_suppl) ◽  
pp. 273-273
Author(s):  
H. Andoh ◽  
Y. Shindo

273 Background: To evaluate intraluminal brachytherapy (ILBT) for the treatment of unresectable hilar or upper bile duct carcinoma. Methods: Between 1992 and 2005, 48 patients were identified who were not indicated for surgical resections. Among them, 22 patients received only biliary drainage (group I) and 26 patients received ILBT (group II). Expandable metallic stents (EMSs) were used in 17 patients and ILBT was delivered using the Varisource 200 remote afterloading unit with a 10 Ci 192Ir or 60Co. Each treatment of ILBT delivered 6 Gy at a 1-cm depth, and was repeated weekly for 5 weeks. A total of 30 Gy was administered to each patient. Survival rates between the groups were compared using Kaplan-Meier survival curves. Results: In group I, survival rates at 6 and 12 months were 9% and 0%, respectively. Median survival was only 2 months. In contrast, group II survival rates at 6, 12, and 24 months were 77%, 54%, and 9%, respectively, and the median survival of this group was 13 months. Improved survival with the use of ILBT was significant, particularly in clinical stages III, IVa (p<0.01), and IVb (p<0.05). ILBT helped keep the bile duct lumen patent for a long period, but was not effective for the treatment of patients with positive lymph node metastasis. Conclusions: Although randomized controlled studies will be necessary, the results of the present study are encouraging for using high-dose ILBT in the treatment of unresectable hilar or upper bile duct carcinoma without lymph node metastasis. No significant financial relationships to disclose.


2007 ◽  
Vol 40 (2) ◽  
pp. 180-185 ◽  
Author(s):  
Hidenori Karasaki ◽  
Kazunori Watanabe ◽  
Daitaro Yoshikawa ◽  
Shigetaka Suzuki ◽  
Akira Ishizaki ◽  
...  

1998 ◽  
Vol 227 (3) ◽  
pp. 405-411 ◽  
Author(s):  
Eiji Sakamoto ◽  
Yuji Nimura ◽  
Naokazu Hayakawa ◽  
Junichi Kamiya ◽  
Satoshi Kondo ◽  
...  

2004 ◽  
Vol 37 (5) ◽  
pp. 562-567
Author(s):  
Naomasa Uesugi ◽  
Katsura Tanzan ◽  
Eiichiro Yamaguchi ◽  
Takashi Nakamura ◽  
Motohiro Takesige ◽  
...  

Endoscopy ◽  
2004 ◽  
Vol 36 (9) ◽  
pp. 829-830 ◽  
Author(s):  
H. Kawamoto ◽  
E. Ishida ◽  
T. Ogawa ◽  
Y. Okamoto ◽  
H. Okazaki ◽  
...  

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