Division of Gastroenterology, Department of Internal Medicine, Soon Chun Hyang University College of Medicine, Cheonan Hospital, 23-20 Bongmyung-dong, Cheonan-si, Chungcheongnam-do, 330-721, South Korea.
World J Gastroenterol. 2010 Nov 14;16(42):5388-90. doi: 10.3748/wjg.v16.i42.5388.
The rendezvous procedure combines an endoscopic technique with percutaneous transhepatic biliary drainage (PTBD). When a selective common bile duct cannulation fails, PTBD allows successful drainage and retrograde access for subsequent rendezvous techniques. Traditionally, rendezvous procedures such as the PTBD-assisted over-the-wire cannulation method, or the parallel cannulation technique, may be available when a bile duct cannot be selectively cannulated. When selective intrahepatic bile duct (IHD) cannulation fails, this modified rendezvous technique may be a feasible alternative. We report the case of a modified rendezvous technique, in which the guidewire was retrogradely passed into the IHD through the C2 catheter after end-to-end contact between the tips of the sphincterotome and the C2 catheter at the ampulla's orifice, in a 39-year-old man who had been diagnosed with gallbladder carcinoma with a metastatic right IHD obstruction. Clinically this procedure may be a feasible and timesaving technique.
会师技术将内镜技术与经皮经肝胆管引流术（PTBD）相结合。当选择性胆总管插管失败时，PTBD 可进行成功引流和逆行进入后续会师技术。当胆管不能进行选择性插管时，传统上可能会使用 PTBD 辅助的经导丝插管方法或平行插管技术等会师技术。当选择性肝内胆管（IHD）插管失败时，这种改良的会师技术可能是一种可行的替代方法。我们报告了一例改良的会师技术，在该技术中，在壶腹开口处，括约肌切开刀尖端和 C2 导管的末端接触后，将导丝经 C2 导管逆行插入 IHD。该患者为 39 岁男性，诊断为胆囊癌伴右 IHD 阻塞转移，该患者接受了这种改良的会师技术。从临床角度来看，该操作可能是一种可行且节省时间的技术。
