[Transhepatic drainage during mechanical jaundice caused by intrahepatic metastatic biliary duct obstruction].

19 patients treated for mechanical jaundice caused by obturation of intrahepatic bilious duct with colorectal liver metastasis were included in this study. At inspection in all patients is has been revealed metastatic defeat of both shares of a liver, in this connection the question on performance of radical operation (hemihepatectomy) in view of purulent complications and jaundice was not considered. For the removal of the jaundice transhepatic drain have been performed: bilateral -- in 15, unilateral -- in 4 cases. Transhepatic drain performed for intrahepatic metastatic block of the bilious duct allows restoration of permeability of the biliary tree, removal of jaundice, cholangitis and liver insufficiency (postoperative complication were developed in 52.6% of cases, lethality - 26.3%, lethality caused by liver insufficiency -- 15.8%).

[Through transhepatic drain during mechanical jaundice caused by secondary sclerosing cholangitis].

37 patients treated for mechanical jaundice caused by secondary sclerosing cholangitis were included in the study. In the study group (20 patients) biliary duct was drained by through transhepatic drainages, in control group (17 patients) this was done by Eåhr and Vishnevsky method. Through transhepatic drain of biliary tree (postoperative complications were developed in 50% of cases, lethality-20%) performed during secondary sclerosing cholangitis, carrying out frame function, prevents further sclerosing of biliary duct and has appeared to be much more effective to remove the jaundice, cholangitis and liver insufficiency in comparison with the drain by Eåhr and Vishnevsky (postoperative complications were developed in 70,6% of cases, lethality-41,2%).