Abstract
laparotomy with 8 (30%) patients undergoing peritoneal or liver metastasis biopsy. PCMS were left in place in those 19 patients. Complication related to PCMS included migration (n=5, 19%), tissue overgrowth (n=2, 7%), and impaction (n=1, 4%), all of them managed by endoscopic removal and replacement with PCMS, with only one of them subsequently undergoing a Whipple, the others being unresectable. Median follow-up post surgery was 210 days (range: 9-1642). Conclusion: PCMS are an appropriate BTS option. For resectable patients, PCMS results in biliary drainage and allows for neoadjuvant treatment without precluding subsequent curative resection (Whipple). For unresectable patients, long term biliary drainage is provided by PCMS. Table 1
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