经皮治疗肝内胆汁漏：一种改良的封堵球囊技术。
Percutaneous Treatment of Intrahepatic Biliary Leak: A Modified Occlusion Balloon Technique.
作者信息
Nasser Felipe, Rocha Rafael Dahmer, Falsarella Priscila Mina, da Motta-Leal-Filho Joaquim Maurício, Azevedo André Arantes, Valle Leonardo Guedes Moreira, Cavalcante Rafael Noronha, Garcia Rodrigo Gobbo, Affonso Breno Boueri, Galastri Francisco Leonardo
机构信息
Department of Interventional Radiology, Hospital Israelita Albert Einstein, Albert Einstein Av., 627/701, Morumbi, São Paulo, 05652-900, Brazil.
出版信息
Cardiovasc Intervent Radiol. 2016 May;39(5):773-777. doi: 10.1007/s00270-015-1234-9. Epub 2015 Nov 5.
PURPOSE
To report a novel modified occlusion balloon technique to treat biliary leaks.
METHODS
A 22-year-old female patient underwent liver transplantation with biliary-enteric anastomosis. She developed thrombosis of the common hepatic artery and extensive ischemia in the left hepatic lobe. Resection of segments II and III was performed and a biliary-cutaneous leak originating at the resection plane was identified in the early postoperative period. Initial treatment with percutaneous transhepatic drainage was unsuccessful. Therefore, an angioplasty balloon was coaxially inserted within the biliary drain and positioned close to the leak.
RESULTS
The fistula output abruptly decreased after the procedure and stopped on the 7th day. At the 3-week follow-up, cholangiography revealed complete resolution of the leakage.
CONCLUSION
This novel modified occlusion balloon technique was effective and safe. However, greater experience and more cases are necessary to validate the technique.
目的
报告一种治疗胆漏的新型改良封堵球囊技术。
方法
一名22岁女性患者接受了肝移植及胆肠吻合术。她发生了肝总动脉血栓形成以及左肝叶广泛缺血。进行了Ⅱ段和Ⅲ段肝切除术，术后早期在切除平面发现了一处胆皮瘘。经皮经肝胆道引流的初始治疗未成功。因此，将血管成形球囊同轴插入胆道引流管内并放置在靠近瘘口处。
结果
术后瘘口引流量立即减少，并在第7天停止。在3周的随访中，胆管造影显示渗漏完全消失。
结论
这种新型改良封堵球囊技术有效且安全。然而，需要更多的经验和更多病例来验证该技术。
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