Percutaneous Transhepatic Biliary Drainage Using Large Needle: Complications and Usefulness.

Author: Ji Yeon LEE ; Hyun Yang LIM ; Noh Kyoung PARK ; Kil Jun LEE ; Seok TAE ; Sang Chun LEE ; Kyoung Ja SHIN
Publication Type:Original Article
MeSH: Bile; Decompression; Drainage*; Humans; Needles*
From:Journal of the Korean Radiological Society 1994;30(6):1085-1090
CountryRepublic of Korea
Language:Korean
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.