Percutaneous transhepatic cholangial drainage: direct approach under fluoroscopic control.
We devised a direct percutaneous transhepatic cholangial drainage under fluoroscopic control. The principle is as follows. After percutaneous transhepatic cholangiography, the three dimensional structure of intrahepatic bile ducts is projected to a two dimensional plane under fluoroscopy; the needle can then be introduced into the selected bile duct with accuracy. The technique can be used as a preoperative management of operations of patients with jaundice and also as a palliative management of advanced cancer without much complication.
D001646:Bile; D001650:Bile Duct Neoplasms / Q000601:surgery; D001653:Bile Ducts, Intrahepatic / Q000601:surgery*; D002758:Cholangiography; D002761:Cholangitis / Q000601:surgery; D004322:Drainage / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007440:Intubation / Q000295:instrumentation; D007565:Jaundice / Q000401:mortality / Q000601:surgery; D008136:Longevity; D008297:Male; D008875:Middle Aged; D011677:Punctures