Drainage of a malignant common hepatic duct obstruction by a biliary endoprosthesis placed through a T-tube tract: technical note.
For patients with high biliary obstruction drained by a T-tube, achieving internal drainage requires special techniques. Modification of a method described by Sammon for common bile duct obstruction permits placement of a biliary endoprosthesis astride the T-tube tract. The key step is traction exerted downward on the endoprosthesis by a suture passing through a second catheter temporarily inserted into the common bile duct. A case is described in which the technique has been applied successfully.
Hahn
P F
PF
Department of Radiology, Harvard Medical School, Boston, Massachusetts.
Girard
M J
MJ
Silverman
S G
SG
Forman
B
B
Tung
G
G
Mueller
P R
PR
D000230:Adenocarcinoma / Q000150:complications; D000368:Aged; D000369:Aged, 80 and over; D001650:Bile Duct Neoplasms / Q000150:complications; D002779:Cholestasis / Q000209:etiology / Q000601:surgery*; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006500:Hepatic Duct, Common / Q000601:surgery*; D006801:Humans; D019736:Prostheses and Implants