J Korean Radiol Soc.
1994 Jun;30(6):1085-1090.
Percutaneous Transhepatic Biliary Drainage Using Large Needle: Complications and Usefulness
Abstract
- PURPOSE
To analyse complications and to review usefulness of large needle(18G) in percutaneous transhepatic biliary drainage(PTBD).
MATERIALS AND METHODS
46 patients underwent PTBD in 52 occassions using large needle. 44 of 46 patients had either definite or suspicious malignant biliary obstruction, and most patients were poor in general dondition. Complications were classified as acute type if developed within 30 days and as delayed type if developed after 30 days. Acute type was subdivided into severe and mild forms.
RESULTS
Severe forms of complications were death(5.8%), septicemia(3.8%), and bile peritonitis(1.9%). There were not different from the rate of complication in PTBD using fine needle but the procedure was much more simple.
CONCLUSION
We PTBD using large neddie is a simple and safe procedure for prompt bile decompression.
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