Lysenko M V, Revazishvili B V, Kiladze K A, Kherodinashvili G I
Georgian Med News. 2005 Jul-Aug(124-125):7-10.
19 patients treated for mechanical jaundice caused by obturation of intrahepatic bilious duct with colorectal liver metastasis were included in this study. At inspection in all patients is has been revealed metastatic defeat of both shares of a liver, in this connection the question on performance of radical operation (hemihepatectomy) in view of purulent complications and jaundice was not considered. For the removal of the jaundice transhepatic drain have been performed: bilateral -- in 15, unilateral -- in 4 cases. Transhepatic drain performed for intrahepatic metastatic block of the bilious duct allows restoration of permeability of the biliary tree, removal of jaundice, cholangitis and liver insufficiency (postoperative complication were developed in 52.6% of cases, lethality - 26.3%, lethality caused by liver insufficiency -- 15.8%).
