[Transhepatic endoprosthesis of the bile ducts].

The authors analysed the results of percutaneous transhepatic endoprosthetics of the hepaticocholedochus in 38 patients with incurable tumors of the organs of the hepato-pancreato-duodenal zone, complicated by obstructive jaundice. Nine different types of bile ejection blocking were distinguished, according to which the method and tactics of the endobiliary intervention were elaborated. Measures for the prevention of cholangitis, bleeding into the abdominal cavity, and hemobilia in the postoperative period are described in detail. The article shows the results recorded in flow-up periods of one to 11 months in 26 patients who had been subjected to endoprosthetics of the bile ducts and discharged from the clinic for out-patient treatment. Recurrence of obstructive jaundice caused by incrustation of the prosthesis was encountered only in 2 patients 4 and 9 months after the intervention. This allowed the authors to conclude that endoprosthetics of the hepaticocholedochus is very effective in the treatment of patients with obstructive jaundice of neoplastic etiology and to consider a transhepatic intervention an alternative of a surgical operation.