Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 6, 2021; 9(34): 10530-10539
Published online Dec 6, 2021. doi: 10.12998/wjcc.v9.i34.10530
Improving rehabilitation and quality of life after percutaneous transhepatic cholangiography drainage with a rapid rehabilitation model
Lu-Lu Xia, Ting Su, Yan Li, Jun-Fang Mao, Qi-Hong Zhang, Yang-Yan Liu
Lu-Lu Xia, Department of General Surgery, Hangzhou Red Cross Hospital, Hangzhou 310003, Zhejiang Province, China
Ting Su, Department of Emergency, Taizhou Hospital of Zhejiang Province, Linhai 317000, Zhejiang Province, China
Yan Li, Department of Gastroenterology, The Central Hospital of Lishui City, Lishui 323000, Zhejiang Province, China
Yan Li, Jun-Fang Mao, Qi-Hong Zhang, Yang-Yan Liu, Department of Emergency, Zhuji People’s Hospital of Zhejiang Province, Zhuji 311800, Zhejiang Province, China
Author contributions: Xia LL and Su T designed the experiment; Li Y drafted the work; Mao JF and Zhang QH collected the data; Liu YY and Xia LL analyzed and interpreted data; Xia LL and Liu YY wrote the article.
Institutional review board statement: This study was approved by the Hangzhou Red Cross Hospital Ethics Committee.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflicting interests.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Yang-Yan Liu, BM BCh, Associate Chief Nurse, Department of Emergency, Zhuji People’s Hospital of Zhejiang Province, No. 9 Jianmin Road, Zhuji 311800, Zhejiang Province, China.
Received: August 12, 2021
Peer-review started: August 12, 2021
First decision: September 2, 2021
Revised: September 9, 2021
Accepted: October 12, 2021
Article in press: October 12, 2021
Published online: December 6, 2021

Percutaneous transhepatic cholangiography drainage (PTCD) effectively treats biliary obstruction. However, patients must maintain the drainage tube after hospital discharge, which may interfere with daily life and work, potentially causing psychological distress. Postoperative rehabilitation is crucial, and strengthened nursing interventions can shorten recovery time.


The aim was to evaluate an inpatient model to shorten rehabilitation duration and improve quality of life after PTCD.


A total of 118 patients with malignant obstructive jaundice who were admitted to our hospital between May 2018 and January 2021 were included and divided into observational (with therapy) and control (no therapy) groups of 59 each.


The observational group had fewer hospitalization days than the control group. The complication, the PTCD fixed-tube prolapse, and tube-related admission rates within 3 mo after PTCD were significantly lower in the observation group than in the control group (P < 0.05). The fatigue, pain, nausea, vomiting, pruritus, emaciation, and fever scores after PTCD decreased in both groups compared with the scores before PTCD (P < 0.05). The quality of life scores after the intervention were higher in the observation than in the control group (P < 0.05).


The model promoted rehabilitation after PTCD, reduced post-PTCD complications, and the tube-related admissions in the 3 mo after the procedure, and improved the quality of life.

Keywords: Rapid rehabilitation model, Percutaneous transhepatic cholangiography drainage, Quality of life, Complications

Core Tip: This retrospective study found that a rapid recovery model promoted the recovery of patients after percutaneous transhepatic cholangiography drainage intervention, reduced intervention-related complications and catheter-related admissions within 3 mo of intervention, and improved quality of life.