What is a PTBD procedure?
Feb 11, 2023
Source: Cainiu Health
Dr. Li Feng
Introduction
PTCD is a surgical procedure that uses image guidance to directly puncture through the skin and liver into the bile duct for drainage, thereby decompressing the biliary tract. The PTBD procedure is performed under local anesthesia with ultrasound guidance, during which a drainage tube is placed into the bile duct to allow bile to drain out, effectively relieving obstructive jaundice by diverting bile flow externally and reducing jaundice symptoms.
PTCD is a surgical procedure that uses image guidance to directly puncture through the skin and liver into the bile duct for drainage, thereby decompressing the biliary tract.
The full name of PTBD surgery is percutaneous transhepatic biliary drainage, where "P" stands for percutaneous, "T" for transhepatic, "B" for biliary duct, and "D" for drainage. The procedure is performed under local anesthesia with ultrasound guidance to place a drainage tube into the bile duct, allowing bile to drain out effectively. This helps relieve obstructive jaundice by diverting bile flow externally and thus alleviating jaundice symptoms.
For severe jaundice caused by biliary tumors, preliminary biliary decompression and drainage are required before definitive surgery to ensure greater safety. Additionally, for patients with stones or obstructions unsuitable for immediate surgery, drainage can alleviate related symptoms and prepare them for secondary surgical intervention. In cases of obstructive jaundice, reducing biliary pressure and relieving obstruction should be the initial steps. PTCD can help manage both of these situations to some extent, enabling patients to survive the critical phase and preparing them for subsequent surgical treatment.
Moreover, PTCD may lead to complications such as bleeding, infection, and fever; therefore, close postoperative monitoring is essential to prevent adverse events and complications.
