one stage percutaneous transhepatic biliary stenting for malignant jaundice a safe quick and economical option of treatment objective patients with proximal malignant jaundices are often diagnosed in an advanced stage and need biliary decompression treatments such as percutaneous transhepatic biliary drainage ptbd and bare metal stenting bms to improve the hepatic function whether it is better to perform those two procedures together or in a separate time it is not well understood the aim of this study was to investigate the effectiveness and costbenefit of a combined onestage ptbdbms procedure in patients with malignant jaundicespatients and methods fortyfive patients with malignant jaundice treated with onestage ptbdbms were retrospectively enrolled to evaluate technical success complications survival and length of hospitalizationresults a full technical success of the procedures was reported for all patients with only one major complication among 45 treated patients a better performance in terms of hospitalization rate was achieved by the onestage procedure compared to the twostage also resulting in global saving of costs a high survival rate was observed at the 3rd and 6th month 977 and 866 respectively with a median overall survival time of 27158 daysconclusions our study shows that performing ptbdbms as a onestage procedure is useful safe and costeffective with a high percentage of technical success and a similar occurrence of complications compared to the twostage procedure