Journal of Surgery Concepts & Practice ›› 2023, Vol. 28 ›› Issue (04): 355-360.doi: 10.16139/j.1007-9610.2023.04.011
• Original article • Previous Articles Next Articles
YE Feng, GONG Xiaoyong, REN Jiajun, CAI Qiang, CHEN Sheng()
Received:
2023-06-28
Online:
2023-07-25
Published:
2023-10-24
CLC Number:
YE Feng, GONG Xiaoyong, REN Jiajun, CAI Qiang, CHEN Sheng. Application of ERCP in diagnosis and treatment of biliary complications during perioperative period of primary liver cancer[J]. Journal of Surgery Concepts & Practice, 2023, 28(04): 355-360.
Tab 1
Clinical data of ERCP treatment of perioperative biliary complications in primary liver cancer ($\bar{x}±s$/n)
Clinical features | Total (n=25) | Biliary stricture (n=14) | Bile leakage (n=6) | Bile duct tumor thrombus (n=5) | Statistical Value | P Value |
---|---|---|---|---|---|---|
Gender | χ2=0.875 | 0.646 | ||||
Male | 22 | 12 | 5 | 5 | ||
Female | 3 | 2 | 1 | 0 | ||
Age (years) | 55.0±9.5 | 53.8±11.0 | 58.6±8.2 | 53.2±9.6 | F=0.570 | 0.574 |
Causes of liver cancer | χ2=2.442 | 0.295 | ||||
Hepatitis B | 18 | 9 | 4 | 5 | ||
Other | 7 | 5 | 2 | 0 | ||
Clinical symptom | ||||||
Abdominal pain | 9 | 7 | 2 | 0 | χ2=4.022 | 0.134 |
Jaundice | 25 | 14 | 6 | 5 | - | - |
Fever | 14 | 8 | 6 | 0 | χ2=11.085 | 0.004 |
Bile drainage | 6 | 0 | 6 | 0 | χ2=25 | <0.001 |
Asymptomatic | 0 | 0 | 0 | 0 | - | - |
ERCP procedure | ||||||
ENBD | 6 | 2 | 1 | 3 | χ2=4.454 | 0.108 |
Stent implantation | 19 | 12 | 5 | 2 | χ2=4.454 | 0.108 |
Balloon/probe dilation | 4 | 3 | 1 | 0 | χ2=1.261 | 0.532 |
Thrombus removal | 5 | 0 | 0 | 5 | χ2=25 | <0.001 |
Postoperative amylase(U/L) | 85.0±69.4 | 96.3±83.0 | 81.0±57.7 | 58.0±20.6 | F=0.563 | 0.578 |
Tab 2
Liver function status before and after ERCP treatment of perioperative biliary complications in primary liver cancer($\bar{x}±s$)
Liver function test item | Pre-ERCP | Post-ERCP | t Value | P Value |
---|---|---|---|---|
Total bilirubin (μmol/L) | 98.281±45.720 | 34.900±12.576 | 7.317 | <0.001 |
Direct bilirubin (μmol/L) | 60.147±30.481 | 20.211±7.753 | 6.580 | <0.001 |
Alkaline phosphatase (U/L) | 167.321±83.124 | 148.046±56.851 | 0.985 | 0.334 |
γ-Glutamyl transferase (U/L) | 68.084±30.872 | 52.286±21.364 | 2.761 | 0.011 |
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