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.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Bile Duct Neoplasms / diagnostic imaging
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Bile Duct Neoplasms / surgery*
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Catheters, Indwelling
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Drainage / instrumentation*
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Hepatectomy / instrumentation
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Hepatic Duct, Common / diagnostic imaging
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Hepatic Duct, Common / surgery*
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Humans
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Jejunostomy / instrumentation*
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Liver Failure / diagnostic imaging
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Liver Failure / prevention & control
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Pancreatic Ducts / diagnostic imaging
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Pancreatic Ducts / surgery*
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Postoperative Complications / diagnostic imaging
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Postoperative Complications / prevention & control
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Ultrasonography / instrumentation*