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Transhepatic percutaneous biliary tract drainage

F Davrieux, MD ME Gimenez, MD, PhD EJ Houghton, MD, MAAC, FACS M Palermo, MD, PhD, FACS D Mutter, MD, PhD, FACS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Dec 2017;17(12). URL: http://websurg.com/doi/vd01en5144

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Percutaneous transhepatic biliary drainage is an effective method for the primary or palliative treatment of many biliary strictures. It is a procedure which includes the cannulation of an intrahepatic biliary tree using image-guided wire and catheter manipulation, and placement of a tube or stent for external and/or internal drainage. This video shows this technique applied in a patient with a pancreatic tumor. This is the case of an 80-year-old male patient with signs of jaundice and a diagnosis of intrahepatic and extrahepatic bile duct dilatation and pancreatic tumor. A transhepatic percutaneous biliary tract drainage was the therapeutic strategy.