Percutaneous transhepatic biliary Drainage (PTBD) in patients with nondilated biliary system: technical success, clinical outcomes and overall success

Deniz, Sinan (2024): Percutaneous transhepatic biliary Drainage (PTBD) in patients with nondilated biliary system: technical success, clinical outcomes and overall success. Dissertation, LMU München: Medizinische Fakultät

Abstract

Throughout my dissertation, I aimed to assess the effectiveness, safety, and clinical outcomes of percutaneous transhepatic biliary drainage (PTBD) in a special group of patients who had non-dilated biliary systems, in the setting of postoperative management of their biliary leakages. Throughout 74 patients with a mean age of 64.1 ± 15.1 years, we found that PTBD is a safe and effec-tive treatment option (with 91.8% vs 80.8% success rates; technical vs clinical) in patients with biliary leakage with low interventional complication rates (less than <4%). On the other hand, hepatic arterial bleedings are rare but severe complications in patients with recent abdominal surgery, which has to be managed quickly, either interventionally or surgically. Our second study aimed to evaluate the technical and clinical outcome of stent-graft placement in the interventional treatment setting for bleeding from the hepatic artery. In 27 patients with a mean age of 68.8 ± 10.1 years a technical success rate of 92.8% was found

• Dokumententyp: Dissertationen (Dissertation, LMU München)
• Keywords: biliary leakage, biliodigestive anastomosis, nondilated biliary ducts, percutaneous transhepatic biliary drainage
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften ; 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• Fakultäten: Medizinische Fakultät
• Sprache der Hochschulschrift: Englisch
• Datum der mündlichen Prüfung: 2. Dezember 2024
• 1. Bericht­erstatter:in: Seidensticker, Max