Prevention and treatment for complication of percutaneous transhepatic biliary drainage

Takayashiki Tsukasa, Takano Shigetsugu, Suzuki Daisuke, Sakai Nozomu, Hosokawa Isamu, Ohtsuka Masayuki

doi:10.11210/tando.38.118

<p>Complications of percutaneous transhepatic biliary drainage (PTBD) include vascular injury occurring during puncture, trans-thoracic puncture, and intra-abdominal bile leakage leading to peritonitis. As a preventive measure against vascular injury, pre-procedural imaging assessment and the use of ultrasound during puncture are recommended. To prevent intra-abdominal bile leakage, strategies include careful selection of the puncture route, thoughtful management of the drainage tube and minimizing the time from dilation with a dilator to tube placement.</p><p>Since one of the indications for PTBD is in cases where other biliary drainage methods are difficult, there is an increased relative risk of complications in more challenging cases. Thus, a safe implementation of PTBD, with a thorough understanding of preventive measures against complications, is crucial. Additionally, given the decrease in the number of experienced cases, proper education, and succession of PTBD techniques are important challenges for the future.</p>

Prevention and treatment for complication of percutaneous transhepatic biliary drainage

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