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Percutaneous transhepatic biliary drainage--twelve years' experience
G M Gazzaniga1, A Faggioni, G Bondanza
11st Dept. General Surgery, San Martino Hospital, Genoa, Italy.
Hepato-Gastroenterology
|April 1, 1991
Summary
Percutaneous transhepatic biliary drainage (PTBD) is a safe and effective procedure for biliary obstruction. This study found good or fair results in 96.6% of patients, with a low mortality rate of 0.8%.
Area of Science:
- Interventional Radiology
- Hepatobiliary Surgery
- Gastroenterology
Background:
- Biliary drainage is crucial for managing obstructive jaundice.
- Percutaneous transhepatic biliary drainage (PTBD) offers a minimally invasive approach.
Purpose of the Study:
- To evaluate the efficacy and safety of PTBD.
- To assess the outcomes and complications of PTBD in a large patient cohort.
Main Methods:
- Retrospective analysis of 362 patients undergoing PTBD between 1977 and 1988.
- Detailed recording of drain placement success, clinical outcomes, and complications.
Main Results:
- Successful drain placement in 350 patients (96.6%).
- Good or fair results achieved in 285 (81.5%) and 53 (15.1%) patients, respectively.
- Low mortality rate (0.8%) and manageable complication rates (e.g., obstruction 1.9%, dislodgement 4.1%).
Conclusions:
- PTBD is a highly effective and safe procedure for biliary drainage.
- The method demonstrates a favorable risk-benefit profile when performed by experienced practitioners.
- PTBD should be a readily available option in specialized hepatobiliary centers.