[Percutaneous transhepatic intubation of bile ducts for combined internal and external drainage in extrahepatic cholestasis (author's transl)].
In 37 patients with extrahepatic cholestasis of different origin, percutaneous transhepatic intubation of the bile ducts was performed for combined internal and external drainage. In 5 cases with stones in the extrahepatic bile ducts and in 12 cases with periampullary tumors, the bile ducts were drained preoperatively. In 3 of these patients, temporary drainage was performed because of postoperative complications. Thirteen patients with non-resectable tumors received a permanent drainage as palliation. In 4 patients temporary drainage was performed during radiation/cytostatic therapy. One patient with an iatrogenic bile duct lesion and one patient with an inflammatory tumor in the liver hilum had a drainage catheter placed because a bile duct resection with creation of a biliodigestive anastomosis was not possible. In one patient with a non-resectable periampullary carcinoma the drainage catheter was replaced by a teflon bile duct endoprosthesis inserted by the percutaneous transhepatic approach. The complications of non-operative percutaneous transhepatic bile drainage are discussed.
D002759:Adenoma, Bile Duct / Q000150:complications; D000328:Adult; D000368:Aged; D001650:Bile Duct Neoplasms / Q000150:complications; D002277:Carcinoma / Q000150:complications; D002404:Catheterization / Q000379:methods; D002758:Cholangiography; D002769:Cholelithiasis / Q000150:complications; D002779:Cholestasis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D005706:Gallbladder Neoplasms / Q000150:complications / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010166:Palliative Care; D010190:Pancreatic Neoplasms / Q000150:complications; D011300:Preoperative Care
Perkutane transhepatische Intubation der Gallengänge zur kombinierten inneren und äusseren Drainage bei extrahepatischer Cholestase.