TREATMENT OF BILIARY LEAKS AND FISTULAS BY SIMULTANEOUS PERCUTANEOUS DRAINAGE AND DIVERSION

被引：25

作者：

VACCARO, JP ^{[1
]}

DORFMAN, GS ^{[1
]}

LAMBIASE, RE ^{[1
]}

机构：

[1] BROWN UNIV,RHODE ISL HOSP,DEPT DIAGNOST IMAGING,593 EDDY ST,PROVIDENCE,RI 02903

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 1991年 / 14卷 / 02期

关键词：

CHOLANGIOGRAPHY; TRANSHEPATIC; BILIARY TRACT; DIAGNOSIS; CHOLECYSTECTOMY; COMPLICATIONS; ENDOSCOPY; RETROGRADE CHOLANGIOPANCREATOGRAPHY;

D O I：

10.1007/BF02577706

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Although biliary fistulae and bilomas are often adequately managed with percutaneous drainage, persistent bile duct leaks are difficult to control. The primary surgical goal in this situation is to decompress the biliary system through diversion of bile flow to facilitate healing of the defect in the bile ducts. We report 3 patients with large biliary duct defects who underwent percutaneous transhepatic cholangiography which demonstrated the site of the biliary leakage. Then, extrapolating the aforementioned surgical tenet to these patients, all 3 were successfully treated with interventional radiologic techniques: simultaneous percutaneous transhepatic biliary diversion to control biliary flow and percutanous biloma drainage to facilitate closure of the cavity.

引用

页码：109 / 112

页数：4

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