New transhepatic biliary drainage procedures for safe intubation and early extubation

Toshio Kanai, Tsukasa Takabayashi, Motohito Nakagawa, Yoshiro Saikawa, Yukio Kawano, Michio Sakata, Naoto Miyazawa

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)419-422
Number of pages4
Issue number56
Publication statusPublished - 2004 Mar
Externally publishedYes


  • Choledochotomy
  • Early extubation
  • Transhepatic biliary drainage

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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