Liver biopsy operation

Jul 18, 2022

1. Preoperative preparation, puncture method and PTC.

2. PTC angiography was performed with no. 22 fine needle to determine the site and nature of the lesion.

3. According to the angiographic results, a thick, straight and horizontal bile duct was selected for internal drainage intubation.

4. Another puncture point was made from the eighth rib of the right midaxillary line. After local anesthesia, a small incision was made on the skin with a sharp knife. Ask client to stop breathing, under the TV monitor to coarse needle pierced quickly selected bile duct in advance, after the break through into the bile duct was pull out the needle core, to insert the catheter after bile flow smoothly, revolve and changes of direction, take the thread through the obstruction or narrow segment to the distal bile duct or duodenum, exit the puncture needle, with expansion tube expansion channel, The multilateral orifice catheter was passed through the obstruction end or narrow segment with the guide wire, so that the lateral orifice of the catheter was located above and below the obstruction end or narrow segment, and the catheter was fixed. After bile flowed out smoothly from the catheter, the contrast agent was injected for film taking.

5. Angiography was performed after one week of drainage to observe the position of catheter and drainage effect.

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