RFA OF UNRESECTABLE CHOLANGIOCARCINOMA

CASE: 76 YEARS OLD MALE WITH CHOLANGIOCARCINOMA AND BISMUTH TYPE  IV STRICTURE  

PROCEDURE: ELTRA (Endobiliary RFA electrode) introduced RFA was done at 10W for 2 minutes in two (18mm) segments along the Right Anterior Sectoral duct (RASD) and then the Left hepatic duct (LHD). 

Subsequently 6mm hurricane balloon dilatation done, debris and necrotic tissue was retrieved, and two biliary stents were placed 

Patient experienced no immediate or late post procedure complications. 

Biliary RFA  causes coagulative necrosis of tumour thus potentially improves patient survival. It also improves stent patency thus maintains biliary drainage longer leading to symptomatic improvement and improved quality of life.