Prevention and treatment for complication of percutaneous transhepatic biliary drainage

DOI
  • Takayashiki Tsukasa
    Department of General Surgery Graduate School of Medicine, Chiba University
  • Takano Shigetsugu
    Department of General Surgery Graduate School of Medicine, Chiba University
  • Suzuki Daisuke
    Department of General Surgery Graduate School of Medicine, Chiba University
  • Sakai Nozomu
    Department of General Surgery Graduate School of Medicine, Chiba University
  • Hosokawa Isamu
    Department of General Surgery Graduate School of Medicine, Chiba University
  • Ohtsuka Masayuki
    Department of General Surgery Graduate School of Medicine, Chiba University

Bibliographic Information

Other Title
  • 第1回 PTBDにおける合併症の予防と対策

Abstract

<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>

Journal

  • Tando

    Tando 38 (1), 118-124, 2024-03-31

    Japan Biliary Association

Details 詳細情報について

  • CRID
    1390018198841180544
  • DOI
    10.11210/tando.38.118
  • ISSN
    18836879
    09140077
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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