ABSTRACT
It is reported on complications which appeared in the percutaneous transhepatic cholangiography performed in n = 130. The complications were subdivided into 1. Complications at immediate performance of the intervention. 2. complications which are to be observed in radiology, 3. complications which became conspicuous in the operation which immediately followed the intervention, 4. complications in the observation of the course in non-operated patients, 5. complications by the percutaneous transhepatic cholangiography in an operation which was performed at a later time. There did not appear any severe complications which burdened the intervention, particularly no bilious peritonitides or severe haemorrhages. None of the changes observed led to the interruption of the intervention. The conclusion is drawn that the percutaneous transhepatic cholangiography is a method of the morphological diagnostics of the biliary ducts which is poor in risk.
Subject(s)
Cholangiography/adverse effects , Cholestasis/diagnostic imaging , Extravasation of Diagnostic and Therapeutic Materials/etiology , Hemobilia/etiology , Humans , Peritonitis/etiologyABSTRACT
After description of the technical performance of the percutaneous transhepatic cholangiography is reported on experiences with this method. 114 examinations were performed and in 87.6% the bile ducts were described. The result of the percutaneous transhepatic cholangiography confirmed itself in 85% of the patients, in 10% the diagnosis dilated itself according to the result of the operation, and in 5% the diagnosis had to be changed. In 12.4% no biliary duct could be punctured, among them were 10 anicteric patients. The reflux technique described has a high number of impact and a good evidence in the morphological differentiation of the obstruction syndrome. It seems not indicated for anicteric patients. Indications, contraindications and the comparison of the examination method to the ERC are described. The percutaneous transhepatic cholangiography may be used with simple apparative and instrumental means.
