title: US guided biliary drainage during hepatopancreatico-jejunostomy for diffuse bile duct carcinoma.
abstract: Liver failure is one of the principal causes of post-operative morbidity and mortality after major hepatectomy for diffuse bile duct cancer. To prevent this complication, biliary decompression must be guaranteed before and during the operation. If a nasobiliary catheter is positioned pre-operatively, biliary drainage can be maintained during hepatopancreato-duodenectomy by introducing a transhepatic drain under sonographic guidance. This original technique is described herein.
authors.affiliation: Department of Surgery, University of Tokyo, Faculty of Medicine, Japan. torzilli@m.u-tokyo.ac.jp
authors.forename: G
authors.initials: G
authors.lastname: Torzilli
authors.forename: M
authors.initials: M
authors.lastname: Makuuchi
authors.forename: Y
authors.initials: Y
authors.lastname: Komatsu
authors.forename: T
authors.initials: T
authors.lastname: Noie
authors.forename: H
authors.initials: H
authors.lastname: Abe
authors.forename: T
authors.initials: T
authors.lastname: Kobayashi
authors.forename: K
authors.initials: K
authors.lastname: Kubota
authors.forename: T
authors.initials: T
authors.lastname: Takayama
mesh_terms: D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D002408:Catheters, Indwelling; D004322:Drainage / Q000295:instrumentation*; D006498:Hepatectomy / Q000295:instrumentation; D006500:Hepatic Duct, Common / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007582:Jejunostomy / Q000295:instrumentation*; D017093:Liver Failure / Q000000981:diagnostic imaging / Q000517:prevention & control; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000517:prevention & control; D014463:Ultrasonography / Q000295:instrumentation*