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  • Title: New transhepatic biliary drainage procedures for safe intubation and early extubation.
    Author: Kanai T, Takabayashi T, Nakagawa M, Saikawa Y, Kawano Y, Sakata M, Miyazawa N.
    Journal: Hepatogastroenterology; 2004; 51(56):419-22. PubMed ID: 15086172.
    Abstract:
    BACKGROUND/AIMS: The conventional transhepatic biliary drainage method requires a long period of tube placement and a technically difficult intubation. METHODOLOGY: New transhepatic biliary drainage methods were applied in cases undergoing an open choledochotomy. The drainage tube was placed transhepatically using a newly developed, rigid and J-shaped needle (J-Needle) with a vertical, ventral and rotating penetration at the proximal hepatic duct. The tube was then introduced directly to the extraperitoneal space by attaching the parietal peritoneum to the liver surface without tube-fixation (extraperitoneal transhepatic tube method). RESULTS: These procedures were applied in 50 patients. The J-Needle was easily and safely inserted without any complications. In the 39 analyzed cases, the patients were safely extubated on postoperative day 7 and discharged around postoperative day 10. CONCLUSIONS: The combination of the J-Needle and the extraperitoneal transhepatic tube method is useful for safe transhepatic biliary intubation and early extubation, enabling a shorter hospital stay for patients requiring biliary surgery.
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