Topic: bile duct reconstruction??
Hi everyone, it is Karen again....my Mom had her 3rd external drain (so she has 3 external drains at the same time now) put in last week. It worked for a few days, and her bilirubin dropped. Then it began to creep back up. The liver specialist told the interventional radiologist to check the drains with dye, which they did and they could see that the blockage in her common bile duct is where things are not getting through. (Some dye did make it down into the intestine and to the other bile duct branches.)
The IR changed out the three drain tubes for larger ones. Her bilirubin went down 1 point between last night and today which is good.
The liver specialist told me that if the drains do not work properly and do not have proper outflow each day, then Mom has a few weeks to live (if we do not do anything else). He said we could try surgery again and do a bile duct reconstruction removing more liver (she had a liver resection in July 2011 with half removal) and pull up the intestine and attach to bile duct with hopes they could cut out the part of the bile duct that has the tumor/scar tissue blockage.
The oncologist here will not give her any chemo meds until her bilirubin is down below 2. It is today 16.2.
Has anyone had the da Vinci robotic surgery for the reconstruction of the bile duct? I have read that is less invasive and would probably be best in my eyes. What is life like after the bile duct reconstruction?
I sat and talked to my Mom today in the hospital, who is weak and sleeping a lot, and told her that we could explore surgery but she needs to keep fighting. She wants to fight this thing until it cannot be fought anymore!. She is so weak but I understand that she is not getting any protein with these 3 drains and the liver not working well so essentially it is like she is starving right now.)