Cause and Management of Complications of PTCD Combined with Percutaneous Transhepatic Implantation of Biliary Stent in Treating for Advanced Malignant Biliary Obstruction_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 WANGHua ,  WANGTao , TANGLi-jun

Center of General Surgery, Chengdu Military General Hospital, Chengdu 610083, Sichuan Province, China;

Corresponding?author：

WANGTao, Email: watopo@163.com

Keywords：

Advanced malignant biliary obstruction; Percutaneous transhepatic cholangial drainage; Percutaneous transhepatic implantation of biliary stent; Complications; Treatment

DOI：

10.7507/1007-9424.20140338

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the cause of complications for patients with advanced malignant biliary obstruc-tion treated with percutaneous transhepatic implantation of biliary stent (PTBS) and summarize the experiences of comp-lications of the treatment. Method The complications of 59 patients firstly treated with percutaneous transhepatic cholangial drainage (PTCD) then with PTBS in 156 cases of advanced malignant biliary obstruction from January 2010 to January 2013 in this hospital were analyzed retrospectively. Results Fifty-nine cases of complications were occurred in 156 cases of advanced malignant biliary obstruction, the incidence was 37.8%, including biliary infection in 26 cases, bile duct bleeding in 17 cases, liver failure in 5 cases, renal failure in 4 cases, acute pancreatitis in 4 cases, stent displa-cement in 2 cases, bile duct perforation in 1 case.Three cases died in 59 patients with complications, 56 cases were improved after symptomatic treatment. Conclusion PTCD combined with PTBS is a safe and effective treatment of advanced malignant biliary obstruction, the reasonable perioperative management is very important to reduce the occurrence of complications.

Citation： WANGHua, WANGTao, TANGLi-jun. Cause and Management of Complications of PTCD Combined with Percutaneous Transhepatic Implantation of Biliary Stent in Treating for Advanced Malignant Biliary Obstruction. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(11): 1421-1424. doi: 10.7507/1007-9424.20140338 Copy

1.	?黃志強.膽道外科手術學[M].濟南:山東科學技術出版社, 1998:168-170.
2.	郝玉芝, 邢冬娟, 龔少娟, 等.PTCD并膽道支架治療惡性梗阻性黃疸臨床觀察[J].肝膽外科雜志, 2013, 21(6):447-450.
3.	范恒偉, 劉會春, 李宗狂, 等.經PTCD途徑膽道金屬支架置入術治療惡性梗阻性黃疸137例臨床療效分析[J].肝膽外科雜志, 2013, 21(2):94-97.
4.	王華, 汪濤.經PTCD竇道膽道金屬支架置入術治療惡性梗阻性黃疸臨床療效分析[J].第三軍醫大學學報, 2011, 33(13):1337, 1345.
5.	楊琦, 陳之強, 彭正.經皮肝穿膽道支架植入術治療惡性梗阻性黃疸的研究[J].中華全科醫學, 2013, 11(1):82-83.
6.	徐永輝, 凌永志, 邱藝瓊.經皮經肝膽道內支架置入術在惡性梗阻性黃疸中的應用[J].現代診斷與治療, 2011, 22(6):337-338.
7.	石力, 湯禮軍, 汪濤, 等.膽道金屬支架置入治療肝門部膽管癌的臨床研究[J].中國普通外科雜志, 2012, 21(8):918-921.
8.	毛偉征, 楊金鏞, 崔自介.梗阻性黃疸患者術前膽道感染與術后多器官功能障礙綜合征的臨床研究[J].腹部外科, 1999, 12(2):28-29.
9.	王剛, 鐘紅姍, 王洪新, 等.PTCD聯合膽道支架置入術治療惡性梗阻性黃疸39例臨床療效分析[J].中國普外基礎與臨床雜志, 2013, 20(12):1417-1420.
10.	黃萬里, 梁宏偉, 王書長, 等.介入治療惡性梗阻性黃疸的臨床療效研究[J].醫學綜述, 2011, 17(3):471-473.
11.	翟仁友, 戴定可, 于平, 等.重視PTBD并發癥的預防和處理[J].當代醫學:中國介入放射學, 2008, 2(2):104-105.
12.	湯靚, 周偉平.梗阻性黃疸病理生理學改變[J].中國實用外科雜志, 2007, 27(10):839-841.
13.	胡銘榮, 徐德征.654-2對梗阻性黃疸內毒素致腎臟損害的臨床干預[J].中國現代普通外科進展, 2001, 4(1):42-44.
14.	George C, Byass OR, Cast JE.Interventional radiology in the management of malignant biliary obstruction[J].World J Gastrointest Oncol, 2010, 2(3):146-150.
15.	孫鐸, 劉永剛, 楊俊清, 等.PTCD與ERCP聯合術治療惡性阻塞性黃疸療效分析[J].中華肝膽外科雜志, 2010, 16(4):308-309.
16.	曹廣劭, 曹會存, 劉健, 等.阻塞性黃疸介入治療的并發癥分析[J].當代醫學, 2010, 16(11):186-188.
17.	夏永輝, 徐克, 蘇洪英, 等.晚期惡性梗阻性黃疸經皮介入治療近期并發癥的臨床觀察及處理[J].當代醫學, 2009, 3(5):88-90.
18.	李偉, 周政, 朱曉黎, 等.惡性梗阻性黃疸介入治療并發癥的分析及處理[J].當代醫學, 2011, 17(5):81-83.
19.	梁松年, 蘇洪英, 馮博, 等.惡性梗阻性黃疸介入治療后近期并發癥的分析和處理[J].介入放射學雜志, 2012, 21(11):927-930.

1. ?黃志強.膽道外科手術學[M].濟南:山東科學技術出版社, 1998:168-170.
2. 郝玉芝, 邢冬娟, 龔少娟, 等.PTCD并膽道支架治療惡性梗阻性黃疸臨床觀察[J].肝膽外科雜志, 2013, 21(6):447-450.
3. 范恒偉, 劉會春, 李宗狂, 等.經PTCD途徑膽道金屬支架置入術治療惡性梗阻性黃疸137例臨床療效分析[J].肝膽外科雜志, 2013, 21(2):94-97.
4. 王華, 汪濤.經PTCD竇道膽道金屬支架置入術治療惡性梗阻性黃疸臨床療效分析[J].第三軍醫大學學報, 2011, 33(13):1337, 1345.
5. 楊琦, 陳之強, 彭正.經皮肝穿膽道支架植入術治療惡性梗阻性黃疸的研究[J].中華全科醫學, 2013, 11(1):82-83.
6. 徐永輝, 凌永志, 邱藝瓊.經皮經肝膽道內支架置入術在惡性梗阻性黃疸中的應用[J].現代診斷與治療, 2011, 22(6):337-338.
7. 石力, 湯禮軍, 汪濤, 等.膽道金屬支架置入治療肝門部膽管癌的臨床研究[J].中國普通外科雜志, 2012, 21(8):918-921.
8. 毛偉征, 楊金鏞, 崔自介.梗阻性黃疸患者術前膽道感染與術后多器官功能障礙綜合征的臨床研究[J].腹部外科, 1999, 12(2):28-29.
9. 王剛, 鐘紅姍, 王洪新, 等.PTCD聯合膽道支架置入術治療惡性梗阻性黃疸39例臨床療效分析[J].中國普外基礎與臨床雜志, 2013, 20(12):1417-1420.
10. 黃萬里, 梁宏偉, 王書長, 等.介入治療惡性梗阻性黃疸的臨床療效研究[J].醫學綜述, 2011, 17(3):471-473.
11. 翟仁友, 戴定可, 于平, 等.重視PTBD并發癥的預防和處理[J].當代醫學:中國介入放射學, 2008, 2(2):104-105.
12. 湯靚, 周偉平.梗阻性黃疸病理生理學改變[J].中國實用外科雜志, 2007, 27(10):839-841.
13. 胡銘榮, 徐德征.654-2對梗阻性黃疸內毒素致腎臟損害的臨床干預[J].中國現代普通外科進展, 2001, 4(1):42-44.
14. George C, Byass OR, Cast JE.Interventional radiology in the management of malignant biliary obstruction[J].World J Gastrointest Oncol, 2010, 2(3):146-150.
15. 孫鐸, 劉永剛, 楊俊清, 等.PTCD與ERCP聯合術治療惡性阻塞性黃疸療效分析[J].中華肝膽外科雜志, 2010, 16(4):308-309.
16. 曹廣劭, 曹會存, 劉健, 等.阻塞性黃疸介入治療的并發癥分析[J].當代醫學, 2010, 16(11):186-188.
17. 夏永輝, 徐克, 蘇洪英, 等.晚期惡性梗阻性黃疸經皮介入治療近期并發癥的臨床觀察及處理[J].當代醫學, 2009, 3(5):88-90.
18. 李偉, 周政, 朱曉黎, 等.惡性梗阻性黃疸介入治療并發癥的分析及處理[J].當代醫學, 2011, 17(5):81-83.
19. 梁松年, 蘇洪英, 馮博, 等.惡性梗阻性黃疸介入治療后近期并發癥的分析和處理[J].介入放射學雜志, 2012, 21(11):927-930.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Cause and Management of Complications of PTCD Combined with Percutaneous Transhepatic Implantation of Biliary Stent in Treating for Advanced Malignant Biliary Obstruction

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content