PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE OF THE RIGHT HEPATIC LOBE USING THE SUBCOSTAL APPROACH WITH ULTRASOUND GUIDANCE

Authors

  • Wiwatana TANOMKIAT Department of Radiology, Faculty of Medicine, Prince of Songkla University

Keywords:

Drainage, Percutaneous, Bile duct obstruction, Ultrasonography, Interventional, Subcostal

Abstract

We present a method for performing transhepatic biliary drainage of the right hepatic lobe under real-time sonographic guidance. With the right subcostal approach, the peripheral bile duct of the anterior inferior right lobe was punctured providing sufficient intrabiliary distance for more multiple side holes to promote better drainage. This puncture site is more comfortable for the patient and easier to care for. With this technique, transpleural puncture or trauma to the intercostal vessels and nerves, which can be complications using conventional techniques, can be avoided. This route can also be used for subsequent permanent placement of the metallic stent. The results and limitations are discussed.

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References

Sawada S, Tanigawa N. percutaneous transhepatic biliary drainage. In: Han MC, Park JH, editors. Interventional radiology. Seoul: Ilchokak; 1999. p. 540-552.

Venbrux AC, Osterman FA Jr. Malignant obstruction of the hepatobiliary system. In: Baum S, Pentecost MJ. editors. Abram’s angiography : Interventional radiology. New York: Little, Brown and Company; 1997. p. 477-490.

Ferrucci JT Jr, Muller PR, Harbin WP. Percutaneous transhepatic biliary drainage: technique, results and applications. Radiology 1980; 135: 1-3.

Nilsson U, Evander A, Ihse I, etal. Percutaneous transhepatic cholangiography and drainage: risks and complications. Acta Radiol 1983; 24: 433-439.

Muller PR, van Sommenberg, Ferrucci JT Jr. Percutaneous biliary drainage : technical and catheter-related problems in 200 procedures. AJR 1982; 138: 17-23.

Takada T, Yasuda H, Hanyu F, Technique and management of percutaneous transhepatic cholangial drainage for treating an obstructive jaundice. Hepatogastroenterology 1995; 42:317-322.

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Published

2023-04-16

How to Cite

1.
TANOMKIAT W. PERCUTANEOUS TRANSHEPATIC BILIARY DRAINAGE OF THE RIGHT HEPATIC LOBE USING THE SUBCOSTAL APPROACH WITH ULTRASOUND GUIDANCE. ASEAN J Radiol [Internet]. 2023 Apr. 16 [cited 2024 Mar. 28];9(2):85-90. Available from: https://www.asean-journal-radiology.org/index.php/ajr/article/view/638

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Original Article

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