US guided biliary drainage during hepatopancreatico-jejunostomy for diffuse bile duct carcinoma.
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.
Torzilli
G
G
Department of Surgery, University of Tokyo, Faculty of Medicine, Japan. torzilli@m.u-tokyo.ac.jp
Makuuchi
M
M
Komatsu
Y
Y
Noie
T
T
Abe
H
H
Kobayashi
T
T
Kubota
K
K
Takayama
T
T
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*