|
|
|
题名
|
作者
|
年代
|
出处
|
被引量
|
| 1 | Peripheral portal vein-oriented non-dilated bile duct puncture for percutaneous transhepatic biliary drainage显示文摘AIM: To evaluate the efficacy of peripheral portal vein(PV)-oriented non-dilated bile duct(BD) puncture for percutaneous transhepatic biliary drainage(PTBD).METHODS: Thirty-five patients with non-dilated BDs underwent PTBD for the management of various biliary disorders, including benign bilioenteric anastomotic stricture(n = 24), BD stricture(n = 5) associated with iatrogenic BD injury, and postoperative biliary leakage(n = 6). Under ultrasonographic guidance, percutaneous transhepatic puncture using a 21-G needle was performed along the running course of the peripheral targeted non-dilated BD(preferably B6 for right-sided approach, and B3 for left-sided approach) or along the accompanying PV when the BD was not well visualized. This technique could provide an appropriate insertion angle of less than 30° between the puncture needle and BD running course. The puncture needle was then advanced slightly beyond the accompanying PV. The needle tip was moved slightly backward while injecting a small amount of contrast agent to obtain the BD image, followed by insertion of a 0.018-inch guide wire(GW). A drainage catheter was then placed usinga two-step GW method. RESULTS: PTBD was successful in 33(94.3%) of the 35 patients with non-dilated intrahepatic BDs. A rightsided approach was performed in 25 cases, while a left-sided approach was performed in 10 cases. In 31 patients, the first PTBD attempt proved successful. Four cases required a second attempt a few days later to place a drainage catheter. PTBD was successful in two cases, but the second attempt also failed in the other two cases, probably due to poor breath-holding ability. Although most patients(n = 26) had been experiencing cholangitis with fever(including septic condition in 8 cases) before PTBD, only 5(14.3%) patients encountered PTBD procedure-related complications, such as transient hemobilia and cholangitis. No major complications such as bilioarterial fistula or portal thrombosis were observed. There was no mortality in our series.CONCLUSION: Peripheral PV-oriented BD puncture for PTBD in patients with non-dilated BDs is a safe and effective procedure for BD stricture and postoperative bile leakage. | Hiroaki Shimizu Atsushi Kato Tsukasa Takayashiki Satoshi Kuboki Masayuki Ohtsuka Hideyuki Yoshitomi Katsunori Furukawa Masaru Miyazaki | 2015 | World Journal of Gastroenterology2015，21，44： | 10 |
| 2 | Clinicopathological features and prognosis of surgical resected cases of biliary cancer with pancreaticobiliary maljunction显示文摘To the Editor:Pancreaticobiliary maljunction(PBM)is a congenital anomaly in which the pancreatic and bile ducts join anatomically outside of the duodenal wall away from the Oddi’s sphincter.This condition causes the reflux of pancreatic juice into the bile duct under high pressure,resulting in various pathologic changes.The features of PBM patients are common bile duct dilatation,long common channel,and high amylase levels in bile juice.Among them,one of the most significant problems is the development of biliary cancer,including extrahepatic bile duct and gallbladder cancers[1].A nationwide survey in Japan reported biliary cancer in 21.6%of adult patients with PBM concomitant with congenital biliary dilatation,32.1%and 62.3%extrahepatic bile duct and gallbladder cancers,respectively[2]. | Tsukasa Takayashiki Hideyuki Yoshitomi Katsunori Furukawa Satoshi Kuboki Masaru Miyazaki Masayuki Ohtsuka | 2020 | Hepatobiliary & Pancreatic Diseases International2020，19，1： | 3 |
| 3 | Safety and efficacy of faldaprevir with pegylated interferon alfa‐2a and ribavirin in Japanese patients with chronic genotype‐1 hepatitis C infection显示文摘 | Shuhei Nishiguchi Yoshiyuki Sakai Makoto Kuboki Satoshi Tsunematsu Yasuhisa Urano Wataru Sakamoto Yasuhiro Tsuda Gerhard Steinmann Masao Omata | 2014 | Liver Int2014，，1： | 1 |
| 4 | The peptidyl-prolyl isomerase, Pin1, facilitates NF- κ B binding in hepatocytes and protects against hepatic ischemia/reperfusion injury显示文摘 | Satoshi Kuboki Nozomu Sakai Callisia Clarke Rebecca Schuster John Blanchard Michael J. Edwards Alex B. Lentsch | 2009 | Journal of Hepatology2009，，2： | 1 |
| 5 | CXC ChemokineReceptor -1 is Expressed by Hepatocytes and Regulates Liver RecoveryAfter Hepatic Ischemia/Reperfusion Injury显示文摘 | Callisia Clarke Satoshi Kuboki Nozomu Sakai | 2011 | Hepatology2011，53，： | 1 |
| 6 | Repeat Pancreatectomy for Pancreatic Ductal Cancer Recurrence in the Remnant Pancreas after Initial Pancreatectomy -Is It Worthwhile?显示文摘 | Masaru Miyazaki Hideyuki Yoshitomi Hiroaki Shimizu Masayuki Otuka Hiroyuki Yoshidome Katsunori Furukawa Tsukasa Takayasiki Satoshi Kuboki Daiki Okamura Daisuke Suzuki Masayuki Nakajima | 2013 | Surgery2013，，： | 1 |
您所在的机构暂未开通此部分的功能，请联系管理员