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US-guided Percutaneous Transhepatic Biliary Drainage: Comparative Study of Right-sided and Left-sided Approach
Article in Korean | WPRIM (Western Pacific) | ID: wpr-16357
Responsible library: WPRO
ABSTRACT

PURPOSE:

To compare the feasibility and safety of US-guided right and left percutaneous transhepatic biliary drainage (PTBD). MATERIALS AND

METHODS:

Between March 1998 and May 1999, 32 patients underwent 36 US-guided right or left PTBD in referred order, alternatively. The causes of biliary obstruction were bile duct stone (n=2), bile duct carcinoma (n=10), carcinoma of the pancreas (n=9), GB carcinoma (n=7), metastasis to the porta hepatis (n=3), and carcinoma of the ampulla of vater (n=1). Technical success, procedure time, fluoroscopic time, and complications were evaluated.

RESULTS:

PTBD was successful in 94% of both right and left approach. The average procedure time was 9.7+/-3.8 min. in the right approach and 9.6+/-3.1 min. in the left approach, respectively (p=0.794). The average fluoroscopic time were 3.9+/-2.4 min. in the right approach and 3.8+/-2.2 min. in the left approach (p=0.892). A major complication, bile peritonitis, occurred in one of 16 patient with right-sided approach. Minor complications occurred in six right (2 hemobilia, 3 tube malfunction, 1 cholangitis) and three left (1 hemobilia, 1 fever, 1 cholangitis) PTBD. There were no significant difference in the complication rates between right and left PTBD (p=0.729).

CONCLUSION:

There were no significant differences in feasibility and safety in US-guided right and left PTBD.
Subject(s)

Full text: Available Database: WPRIM (Western Pacific) Main subject: Pancreas / Peritonitis / Ampulla of Vater / Bile / Bile Ducts / Drainage / Fever / Hemobilia / Neoplasm Metastasis Limits: Humans Language: Korean Journal: Journal of the Korean Radiological Society Year: 2002 Document type: Article
Full text: Available Database: WPRIM (Western Pacific) Main subject: Pancreas / Peritonitis / Ampulla of Vater / Bile / Bile Ducts / Drainage / Fever / Hemobilia / Neoplasm Metastasis Limits: Humans Language: Korean Journal: Journal of the Korean Radiological Society Year: 2002 Document type: Article
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