[Percutaneous management of benign pathology of the main biliary tract: experience in a section of pancreatic and hepatobiliary surgery].
BACKGROUND
Biliary percutaneous procedures (BPP) are useful on management of benign biliary pathology.


OBJECTIVE
Communicate our experience with percutaneous biliary procedures made by surgeons in a specific Hepato-Pancreato-Biliary Section.


METHODS
Retrospective evaluation in 84 patients with benign biliary diseases, treated with BPP from January 1989 through January 2002.


RESULTS
Diagnosis common bile duct stones 21 patients, strictures after common bile duct injury (SCBDI) 29 patients, and other benign bile duct strictures (OBBDS) 34 patients.


METHODS
Acute cholangitis 45, pruritus 11, high surgical risk 10, contraindicated or failed endoscopic access 9, before liver transplantation 12 and other causes 3. Procedures (n=141): percutaneous drainage 96, stricture dilatation 27, percutaneous stone treatment 12, stents 5 and biopsy 1.


RESULTS
Cholangitis 94.8%, stones 100%, anastomotic stricture dilatation (by SCBDI 45.5% and by OBBDS 90%).


RESULTS
Total 32 (38.1%).


RESULTS
3 (3.6%).


CONCLUSIONS
1-Percutaneous drainage was an effective method for bile duct decompression in acute cholangitis, allowing an elective and definitive treatment of the pathology. 2-BPP solved strictures in patients with a high surgical risk and in those with complex diseases. 3-The results of biliary percutaneous dilatation were related to their etiology.
Sección de Cirugía Hepato-Bilio-Pancreática y Trasplante Hepático, Servicio de Cirugía General, Hospital Italiano de Buenos Aires, Gascón 450, Buenos Aires, Argentina. storkgustavo@Argentina.com
Gustavo
G
Stork
Eduardo
E
de Santibañes
Oscar
O
Mazza
Emilio
E
Quiñonez
Mariano
M
Moro
Martín
M
Palavecino
Juan
J
Pekolj
D001659:Biliary Tract / Q000473:pathology; D001660:Biliary Tract Diseases / Q000628:therapy*; D002404:Catheterization; D002769:Cholelithiasis / Q000628:therapy; D003251:Constriction, Pathologic / Q000628:therapy; D004322:Drainage; D006801:Humans; D012189:Retrospective Studies