Authors: Koichiro Yamakado Haruyuki Takaki Atsuhiro Nakatsuka Masataka Kashima Junji Uraki Takashi Yamanaka Kan Takeda
Publish Date: 2009/08/29
Volume: 33, Issue: 1, Pages: 161-163
Abstract
This study evaluated the safety feasibility and clinical utility of transhepatic drainage of inaccessible abdominal abscesses retrospectively under realtime computed tomographic CT guidance For abdominal abscesses 12 consecutive patients received percutaneous transhepatic drainage Abscesses were considered inaccessible using the usual access route because they were surrounded by the liver and other organs The maximum diameters of abscesses were 46–95 cm mean 67 ± 14 cm An 8Fr catheter was advanced into the abscess cavity through the liver parenchyma using realtime CT fluoroscopic guidance Safety feasibility procedure time and clinical utility were evaluated Drainage catheters were placed with no complications in abscess cavities through the liver parenchyma in all patients The mean procedure time was 188 ± 92 min range 12–41 min All abscesses were drained They shrank immediately after catheter placement In conclusions this transhepatic approach under realtime CT fluoroscopic guidance is a safe feasible and useful technique for use of drainage of inaccessible abdominal abscesses
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