Endoscopic Drainage of Presumed Resectable pCCA Using an Intrahepatic Plastic Stent With Retrieval String (CHORDA-II-p)
Perihilar Cholangiocarcinoma
About this trial
This is an interventional treatment trial for Perihilar Cholangiocarcinoma focused on measuring Biliary drainage, Intrahepatic plastic stent with retrieval string, Presumed resectable perihilar cholangiocarcinoma
Eligibility Criteria
Inclusion Criteria: 18 years or older. Capable of providing written and oral informed consent. Presumed perihilar cholangiocarcinoma. Biliary obstruction in the future liver remnant. Drainage naïve patients: total bilirubin >50 umol/L Patients with previous endobiliary drainage procedures: persistently rising total bilirubin >50 umol/L (i.e. no stent placed or insufficient draining stent) or persistent biliary dilatation in the future liver remnant on imaging (i.e. previous stent placed in contralateral side of the liver). Exclusion Criteria: Incompletely recovered from any side effects of previous biliary drainage procedures. Patients are required to be off antibiotic treatment for at least 5 days. Any contra-indication for major liver surgery (e.g. ECOG/WHO score ≥3). Technical contra-indications for endobiliary drainage (e.g. previous gastrojejunostomy). Distance between stricture and sphincter less than 2 cm. Refusal to provide informed consent.
Sites / Locations
- Amsterdam UMCRecruiting
Arms of the Study
Arm 1
Experimental
Intervention
Intrahepatic plastic biliary stent with retrieval string