The installation and the dosage arrangement of intraluminal radiotherapy in the treatment of malignant obstruction of the bile duct
Author(s): LI Kejun, JIN Shi, CHEN Hailong, WANG Zhongyu, WANG Ruoyu, ZOU Lijuan, CHEN Yinghai, ZHOU Mingchen
Pages: 88-90
Year: 2001 Issue: 2
Journal: CHINESE JOURNAL OF GENERAL SURGERY
Keyword: 胆汁郁积; 胆管; 近距离放射疗法;
Abstract: Objective To explore the installation and the dosage arrangement of intraluminal radiotherapy for patients with unresectable cholangiopancreatic carcinoma. Methods 21 cases with cholangiopancreatic carcinoma received intraluminal radiotherapy. The radial resource was Ir192. The radioisotope was introduced through PTCD pathway in 15 cases, by exploratory laparotomy in 6 cases, and through the fistula of the gallbladder in 1 case. The radial dose was 500～1000cGY/per session, the total dosage was 3000cGY to 5000cGY. 9 cases of pancreatic head carcinoma received Co60 adjuvant external radial therapy. Results The jaundice and the obstinate pain in all cases disappeared gradually. The 3,6,9,12,15 and 18 month survival rates were 82%, 73%, 65%, 47%, 38%, 27%, and 22% respectively. Conclusion Intraluminal radiotherapy has the advantages of less trauma, safe, effectiveness, which was indicated in patients with unresectable pancreatobiliary carcinoma.
Pages: 88-90
Year: 2001 Issue: 2
Journal: CHINESE JOURNAL OF GENERAL SURGERY
Keyword: 胆汁郁积; 胆管; 近距离放射疗法;
Abstract: Objective To explore the installation and the dosage arrangement of intraluminal radiotherapy for patients with unresectable cholangiopancreatic carcinoma. Methods 21 cases with cholangiopancreatic carcinoma received intraluminal radiotherapy. The radial resource was Ir192. The radioisotope was introduced through PTCD pathway in 15 cases, by exploratory laparotomy in 6 cases, and through the fistula of the gallbladder in 1 case. The radial dose was 500～1000cGY/per session, the total dosage was 3000cGY to 5000cGY. 9 cases of pancreatic head carcinoma received Co60 adjuvant external radial therapy. Results The jaundice and the obstinate pain in all cases disappeared gradually. The 3,6,9,12,15 and 18 month survival rates were 82%, 73%, 65%, 47%, 38%, 27%, and 22% respectively. Conclusion Intraluminal radiotherapy has the advantages of less trauma, safe, effectiveness, which was indicated in patients with unresectable pancreatobiliary carcinoma.
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