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KMID : 0351619660070020277
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Kyungpook Medical Journal
1966 Volume.7 No. 2 p.277 ~ p.283
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Percutaneous Transhepatic Cholangigraphy
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李東植/Lee, Dong Shik
尹健鎬/徐延旭/吳泰煥/朴鍾吉/Youn, Kun Ho/Suh, Jung Wuk/Oh, Tae Hwan/Park, Jong Gil
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Abstract
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It is widely accepted that percutaneous transhepatic cholangiography is accurate and important procedure in the evaluation of jaundice.
The complication such as intrahepatic hemorrhage, bile leakage, pneumothorax and sepsis are the most serious hazards to this procedure but have been rarely reported.
Indications of this procedure for the evaluation of biliary jaundice preoperatively have been suggested by many authors and as follows;
1. To detect the location and the number of calculi in the extrahepatic ductal system.
2. For the diagnosis, the location and the extent of carcinoma of the tile ducts, ampulla of vater and the pancreas.
3. For evaluation of stenosis or occlusion of extrahepatic biliary tree secondary to operative injury. In addition to these we newly recommend this procedure in the case of suspected biliary ascariasis.
Authors performed percutaneous cholangiography in 12 cases all of which had been suspictious of obstructive jaundice.
Of these, five cases of choledocholithiases, four cancers of the pancreas, one cancer of the liver and two biliary ascariases were detected. In biliary ascariases, the intrahepatic ducts were not sufficiently dilated for successful needling. Therefore, we attempted percutaneous transhepatic cholangiography for biliary ascariases very satisfactorily without any hazard.
This was considered as an important and necessary procedure for partial obstruction of extrahepatic biliary tree.
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