경피경간 담배액술 : 175예의 분석 = Percutaneous Transhepatic Biliary Drainage : Analysis of 175 Cases

다국어 초록 (Multilingual Abstract)

Percutaneous transhepatic biliary drainage is a safe, effective and palliative means of treatment in biliary obstruction, especially in cases with malignant obstruction which are inoperable. 175 cases of transhepatic biliary drainage were performed on 119 patients with biliary obstruction from January 1985 to June 1989 at kyung-pook National University Hospital. The causes of obstructive jaundice were 110 malignant diseases and 9 benign diseases. The most common indication for drainage was pilliative intervention of obstruction secondary to malignant tumor in 89 cases. 86 cases of external drainage were performed including 3 cases of left duct approach, 29 cases of external-internal drainage and 60 cases of endoprosthesis. In external and external-internal drainages, immediate major complications(11.9%) occured, including not restricted to, but sepsis, bile peritonitis and hemobilia. Delayed major complications942.9%) were mainly catheter related. The delayed major complicatio of endoprosthesis resulted from obstruction of the internal stent. The mean time period to reobstruction of the internal stent was about 12 weeks. To improve management status, regular follow-up is required, as is education of both patients and their families as to when immediate clinical attention is mandated. Close communication amongst the varying medical specialties involved will ber necessary to provide optimal treatment for each patient.