Rückert K, Günther R, Kümmerle F
Langenbecks Arch Chir. 1980;350(4):227-32. doi: 10.1007/BF01237632.
Percutaneous transhepatic intubation and drainage of the biliary system were performed in 23 patients, 19 cases preoperatively because of malignant obstructive jaundice. With 12 days the bilirubin serum level went to normal values, and the patients general condition and liver function showed marked improvement. By preoperative PTCD the mortality of palliative procedures in pancreatic carcinoma decreased. Complications occurred in five cases and were easy to manage. Clinical aspects such as indication, optimal period of drainage, and value of other techniques in bile drainage are discussed.
对23例患者实施了经皮经肝胆道系统插管引流术，其中19例因恶性梗阻性黄疸在术前进行了该操作。12天内血清胆红素水平恢复正常，患者的一般状况和肝功能有明显改善。通过术前经皮经肝胆道引流术，胰腺癌姑息治疗的死亡率降低。5例出现并发症，且易于处理。文中讨论了诸如适应证、最佳引流期以及胆汁引流中其他技术的价值等临床问题。
