Obstructed hepatic duct bifurcation: decompression via single percutaneous tract

A technique for the percutaneous decompression of the obstructed right and left hepatic ducts using a single percutaneous tract was performed successfully on eight patients with bilateral ductal obstruction of various etiologies. Eliminating a second percutaneous drainage procedure when bilobar biliary decompression is indicated results in decreased morbidity, increased patient acceptance, and effective palliation of centrally obstructing lesions of the biliary tract.