Endoscopic Scissors Cutting Nasobiliary Duct VS Bilateral Plastic Stent

Endoscopic retrograde cholangiopancreatography and endoscopic nasobiliary duct placement and drainage are conducted first. Upon achieving a postoperative state marked by satisfactory nasobiliary duct drainage and overall patient stability, the procedure entails the employment of endoscopic scissors. The tools are applied to make an incision on the external segment of the nasobiliary duct, positioned beyond the aperture of the primary duodenal papilla. Then extracting the severed nasobiliary duct and retaining the portion inside the duct.

Standard protocol for the placement of bilateral biliary plastic stents in the management of malignant hilar biliary tract stenosis