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초음파 유도하 경피경간 담배액술 : 146예의 경험

Other Titles
 Ultrasound-guided Percutaneous Transhepatic Biliary Drainage : Experiences in 146 Patients 
Authors
 김재근  ;  유정식  ;  김기황  ;  정수윤  ;  정미경  ;  최득린  ;  권귀향  ;  이혜경 
Citation
 Journal of the Korean Society of Medical Ultrasound (대한초음파의학회지), Vol.18(1) : 11-15, 1999 
Journal Title
 Journal of the Korean Society of Medical Ultrasound (대한초음파의학회지) 
ISSN
 1015-7085 
Issue Date
1999
Keywords
Bile ducts obstruction ; Bile ducts interventional procedure
Abstract
PURPOSE: Percutaneous biliary drainage is an important technique for palliative therapy of obstructive biliary disease and diagnostic information. The purpose of this study is to review and evaluate the experiences of ultrasound-guided percutaneous transhepatic biliary drainage. MATERIALS AND METHODS: Ultrasound-guided percutaneous transhepatic biliary drainage was performed on 146 occasions in 134 patients. The causes of biliary obstruction were: benign diseases (19 cases, 14.2%) such asbile duct stones or stricture, cholangiocarcinoma (37 cases, 27.6%), pancreatic carcinoma (35 cases, 26.1%), metastasis (22 cases, 16.5%), gall bladder cancer (14 cases, 10.4%), ampulla of Vater cancer (4 cases, 3.0%), hepatocellular carcinoma (3 cases, 2.2%). Retrospectively reviewing medical records, we found out frequency of external or external/internal biliary drainages, puncture of left or right hepatic duct, and presence of bileinfection. Ultrasound-guided percutaneous transhepatic biliary drainage was compared with conventional biliary drainage of previous reports on the basis of frequency of complications. RESULTS: External (124 procedures, 84.9%) and external/internal biliary drainage (22 procedures, 15.1%) were carried out by puncture of dilated right (59.6%) or left (40.4%) intrahepatic duct. Sixty-nine complications occurred in 47 patients. Catheter related complications (33/69, 47.8%) were most common: catheter dislodgement (17/69, 24.6%), malfunction (9/69, 13.1%), leakage (7/69, 10.1%). Other minor complications such as simple fever (16/69, 23.2%), cholangitis (7/69, 10.1%), hemobilia (4/69, 5.8%), biloma (2/69, 2.9%) and wound infection (1/69, 1.5%) occurred. Major complications including sepsis (4/69, 5.8%) and bile peritonitis (2/69, 2.9%) were also noted. Puncture-related complications such as hemobilia, biloma and bile peritonitis occurred in 8 cases (5.5%). CONCLUSION: Comparing with conventional X-ray guided drainage, ultrasound-guided percutaneous transhepatic biliary drainage is a safe procedure for obstructive biliary disease by decreasing puncture-related complications such as hemobilia, biloma, bile peritonitis. Ultrasound-guided percutaneous transhepatic biliary drainage provides more effective decompression by approaching left hepatic duct
Files in This Item:
T199903376.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174331
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