Hepatobiliary Interventions
Journal of the Korean Medical Association
;
: 539-548, 2002.
Article
in Korean
| WPRIM
| ID: wpr-30843
ABSTRACT
Hepatobiliary interventional procedures are most important and commonly practiced procedures in Korea. These procedures comprise about 60~80% of procedures in interventional radiology. We can do percutaneous transhepatic biliary drainage(PTBD), percutaneous cholecystostomy in patients with bile duct and cystic duct obstruction. These procedures prevent high-risk operation and are performed on an emergency basis in some patients with bile infection. A residual biliary stone after operation can be removed with basket and shock wave without reoperation and multiple intrahepatic stones also can be removed through the PTBD tract without operation. Transarterial chemoembolization is a very effective method and has the widest range of indications in treatment of hepatocellular carcinoma(HCC). Also we can treat HCC percutaneously with local injection of absolute ethanol and radiofrequency ablation. Transjugular intrahepatic portosystemic shunt(TIPS) has replaced surgical shunt operation in variceal bleeding in liver cirrhosis. Resection of a large volume of liver is a very safe method after portal vein embolization of a lobe to be resected due to hypertrophy of the remaining lobes of the liver. Metallic stenting of kinking vessels always shows excellent results and we can employ this technique for hepatic vein and portal vein kinking after living-donor liver transplantation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Portal Vein
/
Reoperation
/
Shock
/
Bile
/
Bile Ducts
/
Cholecystostomy
/
Esophageal and Gastric Varices
/
Radiology, Interventional
/
Stents
/
Liver Transplantation
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Journal of the Korean Medical Association
Year:
2002
Type:
Article
Similar
MEDLINE
...
LILACS
LIS