Comparative efficacy of palliative biliary enteric drainage and percutaneous biliary stenting in the treatment of malignant obstructive jaundice

Abstract

Objective To compare the therapeutic effects of different palliative drainage way on the malignant obstructive jaundice patients who can not perform a surgical resection. Methods Clinical data of 210 malignant obstructive jaundice patients from December 2005 to December 2010 who could not perform a surgical resection were analyzed retrospectively, and the therapeutic effects of palliative internal drainage and percutaneous biliary stent were compared. Among them, biliary mental sents implantation by the way of percutaneoas transhepatic cholangial drainage(PTCD) in 137 cases, (83 males, 54 females), the average age was (67.64±12.68) years, the average survival time was (9.25±6.24) months. Palliative biliary intestinal in drainage in 73 cases (50 males, 23 females), the average age was (64.69±12.99) years. Results Biliary obstruction was effectively relieved in both groups and the liver function was improved. In the physical condition, when jaundice and liver dysfunction were more severe, the stent group was better than the drainage group in relief of the biliary obstruction and liver function improvement, surgical complications and length of hospital stay did not increase. During the postoperative survival time, the stent group was (9.25 ± 6.24) months and the drainage group was (10.36 ± 8.02) months, the difference was not statistically significant (P>0.05). Conclusions In the treatment of malignant obstructive jaundice patients who can not perform a surgical resection, biliary mental sents implantation is the first choice because of its being simple, security, less trauma and repeatability. Key words: Jaundice, obstructive; Percutaneoas transhepatic cholangial drainage; Stents; Bili-enteral draining; Complications