Hansson J A, Hoevels J, Simert G, Tylén U, Vang J
Ann Surg. 1979 Jan;189(1):58-61. doi: 10.1097/00000658-197901000-00012.
Percutaneous transhepatic cholangiography (PTC) with subsequent external bile drainage by nonsurgically established percutaneous transhepatic intubation of bile ducts was performed in 105 patients with obstructive jaundice. Recovery of liver function and improvement in the patients' general condition prior to radical or palliative surgery, nonsurgical palliation in advanced cases of malignancy as well as relief of postoperative leakage from a biliodigestive anastomosis are the indications for the bile drainage technique used in the present study. Clinical aspects such as optimal period of preoperative drainage, frequency of catheter dislodgement, and rate of complications such as cholangitis, bile leakage to the abdominal cavity and risk for peritoneal hemorrhage are discussed. Two deaths occurred within this series.
对105例梗阻性黄疸患者进行了经皮肝穿刺胆管造影（PTC），随后通过非手术建立的经皮肝穿刺胆管插管进行体外胆汁引流。在根治性或姑息性手术前恢复肝功能和改善患者一般状况、晚期恶性肿瘤的非手术姑息治疗以及缓解胆肠吻合术后的渗漏是本研究中使用的胆汁引流技术的适应证。讨论了术前引流的最佳时机、导管移位频率以及胆管炎、胆汁漏入腹腔和腹膜出血等并发症发生率等临床问题。该系列中有2例死亡。
