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Acute obstructive suppurative cholangitis treated with minilaparotomy open transhepatic biliary drainage a report of 5 cases



Acute obstructive suppurative cholangitis treated with minilaparotomy open transhepatic biliary drainage a report of 5 cases



Bulletin of Hunan Medical College 9(4): 407-410



Five cases of acute obstructive suppurative cholangitis (AOSC) treated with mini-laparotomy open transhepatic biliary drainage (OTD) are reported. The general condition rapidly improved in all cases within 24 h after OTD and the patients temperature returned to normal within 4-9 days. Cholangiogram through the retention catheter was successful in 3 cases and was helpful for further diagnosis and treatment. Since OTD was carried out under direct vision, major complications such as biliary leakage, bleeding from the liver or biliary duct and injury to other organs could be avoided. OTD is a simple, safe and helpful method in treating patients suffering from AOSC, who are critically ill or associated with biliary cirrhosis and portal hypertension, or with massive adhesion around the common bile duct due to previous operation which makes the operation field difficult to expose.

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Accession: 004671488

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