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US guided biliary drainage during hepatopancreatico-jejunostomy for diffuse bile duct carcinoma
G Torzilli1, M Makuuchi, Y Komatsu
1Department of Surgery, University of Tokyo, Faculty of Medicine, Japan. torzilli@m.u-tokyo.ac.jp
Hepato-Gastroenterology
|June 17, 1999
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.