肝门胆管癌伴肝内转移：超声引导下 PTCD 管置入案例

Next, let's take a look at another case, a 37-year-old female with hilar cholangiocarcinoma accompanied by intrahepatic metastasis. Routine ultrasound shows that the hilar region is not connected, as indicated by the arrow in the image. Under ultrasound guidance, we performed PTCD tube placement in the left lateral segmental duct of the intrahepatic bile duct. With the help of ICCEUS, we found that the hilar region was not completely obstructed. Narrowing was observed at the junction of the left and right hepatic ducts, but the contrast agent showed good opacification in the right intrahepatic bile duct. Intraoperatively, the drainage tube on the left side was found to be unobstructed, so we decided to leave a drainage tube in place.