Open AccessClinical Aspects of Nonsurgical Percutaneous Transhepatic Bile Drainage in Obstructive Lesions of the Extrahepatic Bile Ducts
Author(s) -
Jonas Hansson,
J. Hoevels,
G. Simert,
Ulf Tylén,
J Vang
Publication year - 1979
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197901000-00012
Subject(s) - medicine , percutaneous , percutaneous transhepatic cholangiography , cholangiography , catheter , intubation , surgery , malignancy , jaundice , anastomosis , radiology
Percutaneous transhepatic cholangiography (PTC) with subsequent external bile drainage by nonsurgically established percutaneous transhepatic intubation of bile ducts was performed in 105 patients with obstructive jaundice. Recovery of liver function and improvement in the patients' general condition prior to radical or palliative surgery, nonsurgical palliation in advanced cases of malignancy as well as relief of postoperative leakage from a biliodigestive anastomosis are the indications for the bile drainage technique used in the present study. Clinical aspects such as optimal period of preoperative drainage, frequency of catheter dislodgement, and rate of complications such as cholangitis, bile leakage to the abdominal cavity and risk for peritoneal hemorrhage are discussed. Two deaths occurred within this series.