[Transhepatic percutaneous drainage of the bile with anterior entry in the ducts of the left lobe. Personal experience in 28 cases].
In 28 selected cases (right hepatic lobe lobectomy or atrophy; prevalent dilatation of the left bile ducts; necessary double drainage in the obstruction of the right and left hepatic ducts confluence; etc.) the percutaneous transhepatic cholangiography and the biliary drainage were performed by a left-lobe subxiphoid approach, rather than the currently popular right-lobe approach. By means of this technique some treatments (biliary endoprosthesis insertion, gallstones removal or dissolution, bilioplasty) were executed; these treatments were impossible or very hard to realize by the right-lobe approach. No failures or complications occurred.
D002404:Catheterization; D002780:Cholestasis, Intrahepatic / Q000000981:diagnostic imaging / Q000628:therapy*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000628:therapy; D004322:Drainage / Q000379:methods*; D006801:Humans; D011859:Radiography
Drenaggio biliare percutaneo transepatico con ingresso anteriore nei dotti del lobo sinistro. Esperienza personale in 28 casi.