モリタ サトル   Satoru Morita
  森田 賢
   所属   医学部 医学科(東京女子医科大学病院)
   職種   講師
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Comparison of technical success and complications of percutaneous transhepatic cholangiography and biliary drainage between patients with and without transplanted liver.
掲載誌名 正式名:AJR. American journal of roentgenology
略  称:AJR Am J Roentgenol
ISSNコード:1546-3141(Electronic)0361-803X(Linking)
巻・号・頁 199(5),pp.1149-52
著者・共著者 Morita Satoru, Kitanosono Takashi, Lee David, Syed Labib, Butani Devang, Holland George, Waldman David
担当区分 筆頭著者,責任著者
発行年月 2012/11
概要 OBJECTIVE:The purpose of this study is to compare technical success and complications of percutaneous transhepatic cholangiography (PTC) and percutaneous transhepatic biliary drainage (PTBD) between patients with and without transplanted liver.MATERIALS AND METHODS:Between 2007 and 2011, 89 PTCs, including 34 PTBDs, in 87 patients with transplanted liver were attempted, and 131 PTCs, including 118 PTBDs, in 126 patients without transplanted liver were attempted. Technical success, diameteMATERIALS AND METHODS:rs of the bile ducts, fluoroscopy time, and complications were statistically compared between the two groups.RESULTS:The technical success rate of PTC for transplanted liver was significantly lower than that for nontransplanted liver (88.8% vs 98.5%; p = 0.004). Consequently, the technical success rate of PTBD for transplanted liver was also significantly lower than that for nontransplanted liver (75.0% vs 95.8%; pRESULTS:<RESULTS:0.001). The average diameters of the first branches and second branches of the bile ducts of transplanted liver were significantly smaller than those of nontransplanted liver (5.8 ± 3.4 mm vs 8.7 ± 3.9 mm for the first branches [pRESULTS:<RESULTS:0.001RESULTS:]RESULTS:; and 3.7 ± 1.7 mm vs 5.8 ± 2.4 mm for the second branches [pRESULTS:<RESULTS:0.001RESULTS:]RESULTS:). No significant difference of fluoroscopy time of unilateral successful PTBD was observed (21.8 ± 11.7 vs 19.3 ± 12.9 min; p = 0.372), and no significant difference of overall complication rates was observed (8.0% vs 8.7%; p = 1.000) between transplanted and nontransplanted liver.CONCLUSION:The technical success rates of PTC and PTBD for transplanted liver are slightly lower than those for nontransplanted liver because the bile ducts are smaller. There is no significant difference in complication rate.
DOI 10.2214/AJR.11.8281
文献番号 23096192