Transhepatic drainage during mechanical jaundice caused by intrahepatic metastatic biliary duct obstruction

19 patients treated for mechanical jaundice caused by obturation of intrahepatic bilious duct with colorectal liver metastasis were included in this study. At inspection in all patients is has been revealed metastatic defeat of both shares of a liver, in this connection the question on performance o...

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Bibliographic Details
Published inGeorgian medical news no. 124-125; p. 7
Main Authors Lysenko, M V, Revazishvili, B V, Kiladze, K A, Kherodinashvili, G I
Format Journal Article
LanguageRussian
Published Georgia (Republic) 01.07.2005
Subjects
Aged
Cholestasis - etiology
Cholestasis - surgery
Colorectal Neoplasms - pathology
Female
Humans
Jaundice, Obstructive - surgery
Liver - surgery
Liver Neoplasms - complications
Liver Neoplasms - secondary
Male
Middle Aged
Suction
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Summary:19 patients treated for mechanical jaundice caused by obturation of intrahepatic bilious duct with colorectal liver metastasis were included in this study. At inspection in all patients is has been revealed metastatic defeat of both shares of a liver, in this connection the question on performance of radical operation (hemihepatectomy) in view of purulent complications and jaundice was not considered. For the removal of the jaundice transhepatic drain have been performed: bilateral -- in 15, unilateral -- in 4 cases. Transhepatic drain performed for intrahepatic metastatic block of the bilious duct allows restoration of permeability of the biliary tree, removal of jaundice, cholangitis and liver insufficiency (postoperative complication were developed in 52.6% of cases, lethality - 26.3%, lethality caused by liver insufficiency -- 15.8%).
ISSN:1512-0112