Abstract
A case of advanced gallbladder carcinoma complicated with preoperative severe cholangitis is reported. The cholangitis was completely controlled after management employing percutaneous transhepatic biliary drainage (PTBD), and it was then possible to perform curative resection of the gallbladder carcinoma. Malignancy at the hepatic hilus sometimes causes acute obstructive cholangitis, followed by severe liver dysfunction, making major hepatic resection impossible. PTBD is quite useful for improving such a pathological condition.
Similar content being viewed by others
References
Boey JH, Way LW (1980) Acute cholangitis. Ann Surg 191:264–270
Reynolds BM, Dargan EL (1959) Acute obstructive cholangitis. A distinct clinical syndrome. Ann Surg 150:299–303
Glenn F, Moody FC (1961) Acute obstructive suppurative cholangitis. Surg Gynecol Obstet 113:265–273
Dow DW, Lindenauer SM (1969) Acute obstructive suppurative cholangitis. Ann Surg 169:272–276
Hori A, Nimura Y, Hayakawa N, Kamiya J, Kubota H, Shionoya S (1988) A case of bile duct carcinoma at the hepatic hilus with segmental obstructive suppurative cholangitis (in Japanese). Nippon Shokakigeka Gakkai Zasshi (Jpn J Gastroenterol Surg) 21:2781–2784
Iyomasa S, Nimura Y, Kamiya J, Maeda S, Kondo S, Yasui A, Shionoya S (1991) Management of cholangitis complicated in biliary carcinoma with hilar bile duct stenosis (in Japanese with English abstract). Nippon Geka Gakkai Zasshi (J Jpn Surg Soc) 92:448–452
Nagino M, Hayakawa N, Nimura Y, Dohke M, Kitagawa S (1992) Percutaneous transhepatic biliary drainage in patients with malignant biliary obstruction of the hepatic confluence. Hepato-Gastroenterol 39:296–300
Pollack DS, Sufian S, Matsumoto T (1979) Indocyanine green clearance in critically ill patients. Surg Gynecol Obstet 149: 852–854
Gottlieb ME, Stratton HH, Newell JC, Shah DM (1984) Indocyanine green. Its use as an early indicator of hepatic dysfunction following injury in man. Arch Surg 119:264–268
Takasaki T, Kobayashi S, Suzuki S, Muto H, Marada M, Yamana Y, Nagaoka T (1980) Predetermining postoperative hepatic function for hepatectomies. Int Surg 65:309–313
Yamanaka N, Okamoto E, Toyosaka A, Mitunobu M, Fujihara S, Kato T, Fujimoto J, Oriyama T, Furukawa K, Kawamura E (1990) Prognostic factors after hepatectomy for hepatocellular carcinomas. A univariate and multivariate analysis. Cancer 65: 1104–1110
Nimura Y, Shionoya S, Hayakawa N, Kamiya J, Kondo S, Yasui A (1988) Value of percutaneous transhepatic cholangioscopy (PTCS). Surg Endosc 2:213–219
Nimura Y, Hayakawa N, Kamiya J, Kondo S, Shionoya S (1990) Hepatic segmentectomy with caudate lobe resection for bile duct carcinoma of the hepatic hilus. World J Surg 14: 535–544
Kadir S, Baassiri A, Barth KH, Kaufman SL, Cameron JL, White RI Jr (1982) Percutaneous biliary drainage in the management of biliary sepsis. AJR 138:25–29
Author information
Authors and Affiliations
About this article
Cite this article
Iyomasa, S., Kato, T., Nimura, Y. et al. Successful management of preoperative cholangitis by percutaneous transhepatic biliary drainage: Case report of advanced gallbladder carcinoma with severe cholangitis. J Hep Bil Pancr Surg 1, 424–428 (1994). https://doi.org/10.1007/BF02391107
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02391107