Drug Discov Ther. 2021;15(3):169-170. (DOI: 10.5582/ddt.2021.01055)

The percutaneous tandem drainage technique for radical treatment of intractable hepaticojejunostomy leakage

Kosaka H, Kaibori M, Kariya S, Ueno Y, Matsui K, Yamamoto H, Matsushima H, Hamamoto T, Sekimoto M


The principal concept of the percutaneous tandem drainage procedure for an intractable hepaticojejunostomy (HJ) leakage is to decrease the amount of fluid and divide the fluid-filled cavity into several small cavities, which can then be drained individually. Percutaneous abscess drainage (PAD) has a role in drainage of the fluid cavity, whereas percutaneous trans-anastomotic jejunum drainage (PTAJD) has a role in drainage to reduce the bile fluid and digestive juices. A decrease in fluid induces effective drainage of the fluid cavity by PAD. A negative pressure suction drain accelerates reduction of the fluid cavity. PAD is removed when the localized fluid cavity has collapsed. PTAJD is finally removed after a clamping test is performed. Since 2020, we performed the percutaneous tandem drainage for two patients, and an intractable HJ leakage was gently resolved within 3 months without any adverse event. The percutaneous tandem drainage technique is safe for steady drain management of an intractable HJ leakage.

KEYWORDS: Anastomotic leakage, hepatectomy, drainage

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