PTCD is a minimally invasive procedure for acute biliary obstruction and cholangitis. It can reduce pressure, reduce yellowness, relieve symptoms, improve general condition, prepare for elective surgery, increase surgical safety, reduce complications, and reduce mortality. It is especially suitable for elderly patients, people with physical failure, poor general condition, insufficiency of vital organs and severe shock. At the same time, when biliary leakage occurs after biliary surgery, it is used as a bypass drainage to facilitate fistula healing.
This article will give you a detailed overview of the advantages of PTCD surgery and the specific steps to prepare for the procedure.
1. Advantages of PTCD surgery
1. Minimally invasive surgery: PTCD is a minimally invasive surgery that does not require laparotomy, has little trauma, fast recovery and reduces complications. 2. Decompression and yellowing: Through PTCD, the bile at the obstruction site can be drained out, the pressure in the biliary tract can be relieved, and the bilirubin level can be reduced, thereby improving the symptoms of jaundice. 3. Improve the general condition: PTCD helps to alleviate the systemic symptoms caused by biliary obstruction, such as pain, fever, vomiting, etc., and creates favorable conditions for elective surgery. 4. Reduce mortality: PTCD can reduce septic shock, multi-organ failure and other serious complications caused by biliary obstruction, thereby reducing mortality. 2. Preoperative preparation for PTCD
Preoperative preparation for PTCD is essential to ensure the safe and smooth conduct of the procedure. Here are the steps to prepare:
1. Preoperative routine examination: blood routine, liver function, coagulation function and other examinations are helpful to evaluate the patient's physical condition and provide a basis for surgical risk assessment. 2. Control underlying diseases: Patients with hypertension and diabetes should first control their blood pressure and blood sugar to keep their condition stable. Patients who have been taking antiplatelet drugs for a long time should stop taking them one week before surgery to prevent bleeding. 3. Fasting and water: fasting should be done for 6 hours and water for 2 hours before surgery to prevent nausea, vomiting and aspiration. 4. Mentality adjustment: Maintain a good attitude before surgery, no need to be overly nervous, which is conducive to improving the success rate of surgery. 5. Prevention of infection: antibiotics should be used before surgery to prevent infection and reduce the risk of surgery. 6. Personal hygiene: Before the operation, personal hygiene should be done, bathing, cleaning the abdomen**, and those with more body hair should be shaved to reduce the risk of surgical infection. Minimally Invasive Surgery Through the above, we can understand the advantages of PTCD surgery and the specific steps of its preoperative preparation. As a minimally invasive surgery, PTCD has many advantages such as reducing pressure, reducing yellowness, improving general condition, and reducing mortality. Adequate preparation before surgery helps ensure a smooth procedure and the patient's **.