US guided biliary drainage during hepatopancreatico-jejunostomy for diffuse bile duct carcinoma
Torzilli, G.; Makuuchi, M.; Komatsu, Y.; Noie, T.; Abe, H.; Kobayashi, T.; Kubota, K.; Takayama, T.
Hepato-Gastroenterology 46(26): 863-866
1999
ISSN/ISBN: 0172-6390 PMID: 10370628 Document Number: 503735
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.