Pace R F, Yeung E, Benjamin I S
Hepatobiliary Surgery Unit, Hammersmith Hospital, London, UK.
Surg Endosc. 1988;2(4):261-3. doi: 10.1007/BF00705334.
Non-operative stent insertion is a well-accepted means of palliating malignant biliary obstruction. The endoscopic approach is often considered the procedure of choice, with the percutaneous technique reserved for endoscopy failures. We recently encountered a patient in whom both techniques proved unsuccessful initially, and in whom palliation was finally achieved by means of a combined endoscopic and percutaneous transhepatic procedure.
