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Application of metallic stents for both inferior vena cava and biliary obstruction by lymph node involvement in a patient with recurrent hepatocellular carcinoma
Authors:Tono Takeshi  Matsushita Masaki  Maeda Munehiro  Murakami Masahiro  Nakano Yoshiaki  Takemoto Hirotoshi  Imazato Mitsunobu  Asaoka Tadashi  Hoshino Hiromitsu  Kanoh Toshiyuki  Kimura Yutaka  Iwazawa Takashi  Ohnishi Tadashi  Yano Hiroshi  Okamura Jun  Monden Takushi
Affiliation:Dept. of Surgery, NTT West Osaka Hospital.
Abstract:The authors experienced a case with obstruction of the inferior vena cava (IVC) and the common bile duct due to a recurrent hepatocellular carcinoma. In order to improve severe edema of the lower extremities and obstructive jaundice, IVC metallic stent as well as biliary stent were applied. A Luminexx stent of 8 cm in length was placed in the bile duct via subcutaneous route after biliary drainage. A spiral zigzag stent of 8 cm in length was also inserted into the IVC through the femoral vein following balloon dilatation of the obstructed portion. Subsequently, jaundice and edema were dramatically improved in a short period of time, which resulted in patient discharge from the hospital. Although the patient died of the cancer in 2 months, the quality of life was well maintained until death.
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