PERCUTANEOUS TRANSHEPATIC STENT IMPLANTAT ION VERSUS HEPATICOJEJUNOSTOMY IN PALLIATIVE TREATMENT OF MALIGNANT OBSTRUCTION OF THE DISTAL BILE-DUCT

The value of radiologically controlled stent implantation compared to hepatojejunostomy in palliative treatment of tumor induced cholestasis was examined in a non randomised retrospective study. 54 patients suf fering of adenocarcinoma of the pancreas (n = 34), carcinoma of of the common bile duct (n = 10) were compared in regard to survival time, n ormalisation of cholestasis and complication rate. The survival time f ollowing stenting procedure (n = 31) is 6,0 months, after operation (n = 23) 7,1 months. The reduction of cholestasis showed no significant difference. The complication rate is lower (operated group 12,9%, sten ted group 9,6%) and the hospital stay following stenting procedure was much shorter (6,1 d vs. 18,0 d). Both a positive side effect of stent implantation.