Long-term survival of over 4 years after microwave tissue coagulation (MTC) therapy via percutaneous transhepatic cholangioscopy in men with jaundice and bile duct carcinoma in the far advanced stage

Ino-u-e Shigeaki; Endoh Masaaki; Fukushima Takashi; Nakadate Toshihiro; Karouji Sinobu; Shioya Akira; Ohsato Masayuki; Itoh Takao; Shida Shoichi; Nakachi Hiromichi; Narumi Syunnji; Hakamada Kennichi; Sasaki Mutsuo; Ebina Yuuichi; Umehara Yutaka; Andoh Hideaki; Fukuyama Shouji; Hatazawa Chiaki; Segami Hideo; Konn Mitsuru; Seki Toshihito; Tabuse Katsuyoshi

doi:10.3380/jmicrowavesurg.29.51

Case Report/Digestive Endoscopy

Long-term survival of over 4 years after microwave tissue coagulation (MTC) therapy via percutaneous transhepatic cholangioscopy in men with jaundice and bile duct carcinoma in the far advanced stage

Shigeaki Ino-u-e, Masaaki Endoh, Takashi Fukushima, Toshihiro Nakadate, Sinobu Karouji, Akira Shioya, Masayuki Ohsato, Takao Itoh, Shoichi Shida, Hiromichi Nakachi, Syunnji Narumi, Kennichi Hakamada, Mutsuo Sasaki, Yuuichi Ebina, Yutaka Umehara, Hideaki Andoh, Shouji Fukuyama, Chiaki Hatazawa, Hideo Segami, Mitsuru Konn, Toshihito Seki, Katsuyoshi Tabuse

Author information

Shigeaki Ino-u-e
Depart. of Surg., National Hospital Organization Aomori National Hosp.
Masaaki Endoh
Depart. of Surg., Aomori City Hosp.
Takashi Fukushima
Depart. of Surg., National Hospital Organization Aomori National Hosp.
Toshihiro Nakadate
Depart. of Surg., Mizusawa General Hosp.
Sinobu Karouji
Depart. of Surg., National Hospital Organization Aomori National Hosp.
Akira Shioya
Depart. of Surg., National Hospital Organization Aomori National Hosp.
Masayuki Ohsato
Depart. of Surg., Hachinohe City Hosp.
Takao Itoh
Itoh Clinic
Shoichi Shida
Kawakami Clinic
Hiromichi Nakachi
Ginowann Memorial Hosp.
Syunnji Narumi
Depart. of Digestive Surg., Hirosaki Univ.
Kennichi Hakamada
Depart. of Digestive Surg., Hirosaki Univ.
Mutsuo Sasaki
Depart. of Digestive Surg., Hirosaki Univ.
Yuuichi Ebina
Depart. of Digestive Surg., Hirosaki Univ.
Yutaka Umehara
Depart. of Surg., Aomori Prefectural Central Hosp.
Hideaki Andoh
Depart. of Surg., Aomori Prefectural Central Hosp.
Shouji Fukuyama
Depart. of Surg., Aomori Prefectural Central Hosp.
Chiaki Hatazawa
Depart. of Surg., Aomori Prefectural Central Hosp.
Hideo Segami
Depart. of Surg., Aomori Prefectural Central Hosp.
Mitsuru Konn
Depart. of Surg., Hirosaki Univ.
Toshihito Seki
The 3rd Depart. of Internal Medicine, Kannsai Medical Univ.
Katsuyoshi Tabuse
Depart. of Surg., National Hospital Organization Osaka Minami Medical Center

Keywords: bile duct carcinoma, advanced stage, long-term survival, MTC (microwave tissue coagulation)

JOURNAL FREE ACCESS

2011 Volume 29 Pages 51-57

DOI https://doi.org/10.3380/jmicrowavesurg.29.51

Details

Abstract

In this report, we suggest a probable treatment with microwave tissue coagulation (MTC) aimed at curing jaundice and early-stage bile duct carcinoma in elderly patients.
Here we report cases of 2 jaundice patients with bile duct carcinoma in the far advanced stage of progression, who survived for more than 4 years after percutaneous transhepatic cholangioscopy (PTCS) and radiography-guided MTC.
Long-term survival of over 10 years was achieved in jaundice patients with unresectable bile duct carcinoma and poor health after performing PTCS and radiography-guided MTC.
MTC may be an alternative palliative treatment for jaundice patients in the far advanced stage of progression and may afford survival of over 4 years.

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