Fine needle percutaneous transhepatic cholangiography (PTC)
Rogos, R.; Kupka, C.; Schaefer, L.
Zeitschrift für die Gesamte Innere Medizin und ihre Grenzgebiete 34(3): 97-101
1979
ISSN/ISBN: 0044-2542 PMID: 433365 Document Number: 140282
The percutaneous transhepatic cholangiography with thin needle was performed in 40 patients for the diagnostic clarification of epigastric complaints after cholecystectomy and of a cholestasis syndrome. A successful demonstration of the duct was achieved altogether in 80%, in an extrahepatic obstruction in 93.3%. The only complication was a choleresis into the free abdominal cavity, which could be operatively treated without any sequels. By the percutaneous transhepatic cholangiography in the majority of patients pathologic changes were diagnosed, which remained latent when up to now usual methods were performed and which had therapeutic consequences. The high exactness, the slight load of the patient, minimum cost and unproblematic sterilisation are essential advantages of the percutaneous transhepatic cholangiography which justify a broader use. The complication rate may be kept low by the slight calibre of the needle and by suitable investigation technique.