Perkutan-transhepatische Endoskopie und gezielte Gewebeentnahme mit einem steuerbaren dünnen F10,2-Cholangioskop
| Autor: | Salm R, Sontheimer J, Hauenstein Kh |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Operation planning
medicine.medical_specialty Percutaneous Endoscope Palliative treatment medicine.diagnostic_test business.industry General surgery medicine.medical_treatment Lithotripsy Cholangiography Histological diagnosis medicine Stone extraction Radiology Nuclear Medicine and imaging business Nuclear medicine |
| Zdroj: | RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 154:393-397 |
| ISSN: | 1438-9010 1438-9029 |
| DOI: | 10.1055/s-2008-1033156 |
| Popis: | Due to the flexibility and an external control mechanism of our thin calibrated cholangioscope (10.2 F) an inspection of the bile ducts via percutaneous transhepatic access is possible without too much discomfort for the patient. A 3.6 F working channel enables target-specific biopsies under optical control. It does not only enable histological diagnosis of the tumour itself but above all the exact definition of the proximal and distal tumour borders. This is a decisive criterion of operability and operation planning especially in tumours of the hepatic bifurcation. Expansion of the compressive lesion may be determined for palliative treatment. Percutaneous stone extraction by contact lithotripsy or with a Dormia basket is technically possible via the working channel under endoscopic view. An inspection of the peripheral branches of the same and the other liver lobe from one access only is made possible by easy maneuverability and flexibility of the endoscope. |
| Databáze: | OpenAIRE |
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