[Transhepatic endless drainage according to Goetze-Dick in stenoses of the intrahepatic and extrahepatic bile ducts (author's transl)].
Results and experiences in 51 transhepatic endless drainage operations according to the method of Goetze-Dick are dealt with, the indication as well as the technique of the operation are discussed in detail. The advantage of this method is based on the fact, that the drain can be easily changed. So patients with inoperable obstructive jaundice can often be given many month of worthwhile life. The extracorporal part of the drain is hardly found to trouble the patients. Also benign intrahepatic obstructions, where no bile duct is left to be anastomized, can be operated on satisfactorily with this method. In spite of the blunt penetration of the liver necessitated by this technique, intra- and postoperative complications are rare. Postoperative care is paramount in avoiding cholangitis.
D000328:Adult; D000368:Aged; D001649:Bile Duct Diseases / Q000601:surgery*; D001651:Cholestasis, Extrahepatic / Q000601:surgery*; D002780:Cholestasis, Intrahepatic / Q000601:surgery*; D003251:Constriction, Pathologic / Q000601:surgery; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000517:prevention & control
Erfahrungen mit der transhepatischen Endlosdrainage nach Goetze-Dick bei Stenosen der intra- und extrahepatischen Gallenwege.