A novel method of triple stenting in patients with malignant hilar biliary obstruction: triple stenting abreast method

摘要

?Permissions and Reprints An 85-year-old woman visited our hospital with obstructive jaundice. Contrast-enhanced computed tomography (CT) showed a gallbladder tumor, multiple liver tumors, and intrahepatic bile duct dilatation ([Fig.?1]). Hepatic tumor biopsy showed adenocarcinoma. The final diagnosis was gallbladder cancer, multiple liver metastases, and malignant hepatic hilar biliary obstruction (MHBO) due to liver invasion. She underwent endoscopic retrograde cholangiopancreatography with placement of self-expandable metal stents (SEMS) for obstructive jaundice because she hoped for best supportive care ([Video?1]).