[Diagnoses and treatments by transcutaneous transhepatic approach in patients with obstructive jaundice]

In 298 patients with obstructive jaundice, including 271 (90.9%) with tumoral genesis, endobiliary interventions were performed: transcutaneous transhepatic cholecystectomy--in 76, external cholangiostomy--in 155, external-internal cholangiostomy--in 97, endoprosthesis of biliary ducts (BD)--in 23. Of 155 patients, to whom external drainage of BD was done, recanalization of obstructed portion was performed in 53. Of 102 patients, to whom external drain was adjusted, in 23.1% the complications occurred. Hospital mortality had constituted 22%. The BD perforation was noted in 8 observations. The patients life span, in whom the external-internal BD drainage was done, was 7.8 months, an efficacy of endoprosthesis had constituted 97.3%. The life span of such patients was (9.2 +/- 2.4) months at average.