Sponza M1, Pravisani P2, Lorenzin D2, Seriau L2*, Baccarani U2, Bresadola V2, Vit A1 and Risaliti A2
1Department of Diagnostic and Interventional Radiology, Academic Hospital of Udine, Italy
2General Surgery and Transplantation Unit, Department of Biological and Medical Sciences, Academic Hospital of Udine, Italy
Purpose: With the aim to improve the patient's quality of life and to minimize the complications related to a long-lasting indwelling catheter, we developed a new technique of connecting an internalexternal (I/E) biliary catheter to a subcutaneous PORT chamber. In our study, the technique is described and the related clinical outcomes are analyzed.Materials and
Methods: This is a retrospective study on a clinical series of 27 patients affected by biliary stricture under treatment with expected long-lasting percutaneous I/E biliary drainage. A quality of life (QoL) questionnaire was applied to support the analysis of the outcomes.
Results: The cause of biliary stricture was benign in 24 patients and neoplastic in 3. The mean duration of the biliary PORT was 12.4 month (range 1.9-20.6) and the indications for its removal were stenosis resolution in 21 cases, subcutaneous infection questionnaires of the chamber site in 3 cases (11.1%), recurrent cholangitis in 2 cases. No cases of complete and not reversible biliary PORT obstruction occurred. In those cases who had the PORT removed due to complications, the substitution of the catheter with a percutaneous internal-external drainage was carried out without additional difficulties. The questionnaire on the QoL reported that the patients felt themselves less restricted by the PORT then by I/E drainage regarding personal hygiene, clothing sleeping, daily activities, social life, routine medication, and pain.Conclusions: The procedure seems feasible and promising, particularly regarding the positive impact on the patient’s quality of life. However, wider clinical series are needed for more conclusive results.
Biliary stricture; PORT; Internal-external drainage; Biliary catheter; Quality of life
Sponza M, Pravisani P, Lorenzin D, Seriau L, Baccarani U, Bresadola V, et al. Convertion of a Long-Lasting Percutaneous Internal-External Biliary Drainage into a Totally mplantable Device Using a PORT Chamber: Early Results. Clin Surg. 2016; 1: 1069.