Treatment of hilar carcinoma by bile drainage combined with internal radiotherapy using 192iridium wire

Eighteen patients with a cholangiocarcinoma involving the hilum of the liver, and one patient with a carcinoma of the gall bladder causing obstruction of the common hepatic duct, have been treated with bile drainage using a U‐tube (8 patients) or a percutaneous transhepatic catheter (11 patients) fo...

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Veröffentlicht in:British journal of surgery 1983-12, Vol.70 (12), p.733-735
Hauptverfasser: Fletcher, M. S., Brinkley, Diana, Dawson, J. L., Nunnerley, Heather, Williams, R.
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container_end_page 735
container_issue 12
container_start_page 733
container_title British journal of surgery
container_volume 70
creator Fletcher, M. S.
Brinkley, Diana
Dawson, J. L.
Nunnerley, Heather
Williams, R.
description Eighteen patients with a cholangiocarcinoma involving the hilum of the liver, and one patient with a carcinoma of the gall bladder causing obstruction of the common hepatic duct, have been treated with bile drainage using a U‐tube (8 patients) or a percutaneous transhepatic catheter (11 patients) followed by internal radiotherapy with 192iridium wire. The median survival is 11 months, and 9 patients (47 per cent) have survived for 12 months or longer. The addition of internal radiotherapy may be beneficial to patients with hilar cholangiocarcinoma causing biliary obstruction in whom bile drainage can be established.
doi_str_mv 10.1002/bjs.1800701213
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L.</au><au>Nunnerley, Heather</au><au>Williams, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of hilar carcinoma by bile drainage combined with internal radiotherapy using 192iridium wire</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>1983-12</date><risdate>1983</risdate><volume>70</volume><issue>12</issue><spage>733</spage><epage>735</epage><pages>733-735</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><coden>BJSUAM</coden><abstract>Eighteen patients with a cholangiocarcinoma involving the hilum of the liver, and one patient with a carcinoma of the gall bladder causing obstruction of the common hepatic duct, have been treated with bile drainage using a U‐tube (8 patients) or a percutaneous transhepatic catheter (11 patients) followed by internal radiotherapy with 192iridium wire. The median survival is 11 months, and 9 patients (47 per cent) have survived for 12 months or longer. The addition of internal radiotherapy may be beneficial to patients with hilar cholangiocarcinoma causing biliary obstruction in whom bile drainage can be established.</abstract><cop>Bristol</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>6315122</pmid><doi>10.1002/bjs.1800701213</doi><tpages>3</tpages></addata></record>
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subjects Adenoma, Bile Duct - radiotherapy
Adenoma, Bile Duct - surgery
Adenoma, Bile Duct - therapy
Adult
Aged
Bile Duct Neoplasms - radiotherapy
Bile Duct Neoplasms - surgery
Bile Duct Neoplasms - therapy
Bile Ducts, Intrahepatic - surgery
Biological and medical sciences
Brachytherapy
Cholestasis, Intrahepatic - surgery
Combined Modality Therapy
Drainage - methods
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Iridium - therapeutic use
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Radioisotopes - therapeutic use
title Treatment of hilar carcinoma by bile drainage combined with internal radiotherapy using 192iridium wire
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