神戸大学附属図書館デジタルアーカイブ
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https://hdl.handle.net/20.500.14094/90007738
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2024-04-27
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90007738 (fulltext)
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メタデータID
90007738
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open access
出版タイプ
Version of Record
タイトル
Extraluminal recanalization for postoperative biliary obstruction using transseptal needle
著者
Horinouchi, Hiroki ; Ueshima, Eisuke ; Sofue, Keitaro ; Komatsu, Shohei ; Okada, Takuya ; Yamaguchi, Masato ; Fukumoto, Takumi ; Sugimoto, Koji ; Murakami, Takamichi
著者名
Horinouchi, Hiroki
堀之内, 宏樹
ホリノウチ, ヒロキ
著者ID
A1505
研究者ID
1000040645561
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=27f5782f098b3c4a520e17560c007669
著者名
Ueshima, Eisuke
上嶋, 英介
ウエシマ, エイスケ
所属機関名
医学部附属病院
著者ID
A1469
研究者ID
1000090622027
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=f7fcd4a60d373990520e17560c007669
著者名
Sofue, Keitaro
祖父江, 慶太郎
ソフエ, ケイタロウ
所属機関名
医学部附属病院
著者ID
A2051
研究者ID
1000030444590
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=f042cfd368180a87520e17560c007669
著者名
Komatsu, Shohei
小松, 昇平
コマツ, ショウヘイ
所属機関名
医学部附属病院
著者ID
A1460
研究者ID
1000080514786
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=1b7a24e9e768e586520e17560c007669
著者名
Okada, Takuya
岡田, 卓也
オカダ, タクヤ
所属機関名
医学部附属病院
著者ID
A1392
研究者ID
1000010457096
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=24afca231ae41ee9520e17560c007669
著者名
Yamaguchi, Masato
山口, 雅人
ヤマグチ, マサト
所属機関名
医学部附属病院
著者ID
A0787
研究者ID
1000070379402
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=cc75a09ef927fb18520e17560c007669
著者名
Fukumoto, Takumi
福本, 巧
フクモト, タクミ
所属機関名
医学研究科
著者ID
A0768
研究者ID
1000090314476
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=558b017116277cc8520e17560c007669
著者名
Sugimoto, Koji
杉本, 幸司
スギモト, コウジ
所属機関名
医学部附属病院
著者ID
A2302
研究者ID
1000020252653
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=4d5c2d2510f6d3a2520e17560c007669
著者名
Murakami, Takamichi
村上, 卓道
ムラカミ, タカミチ
所属機関名
医学研究科
収録物名
Surgical Case Reports
巻(号)
6(1)
ページ
304-304
出版者
SpringerOpen
刊行日
2020-12-03
公開日
2021-01-12
抄録
Background Postoperative biliary strictures are commonly related to accidental bile duct injuries or occur at the site of biliary anastomosis. The first-line treatment for benign biliary strictures is endoscopic therapy, which is less invasive and repeatable. However, recanalization for biliary complete obstruction is technically challenging to treat. The present report describes a successful case of treatment by extraluminal recanalization for postoperative biliary obstruction using a transseptal needle. Case presentation A 66-year-old woman had undergone caudal lobectomy for the treatment of hepatocellular carcinoma. The posterior segmental branch of the bile duct was injured and repaired intraoperatively. Three months after the surgery, the patient had developed biliary leakage from the right hepatic bile duct, resulting in complete biliary obstruction. Since intraluminal recanalization with conventional endoscopic and percutaneous approaches with a guidewire failed, extraluminal recanalization using a transseptal needle with an internal lumen via percutaneous approach was performed under fluoroscopic guidance. The left lateral inferior segmental duct was punctured, and an 8-F transseptal sheath was introduced into the ostium of right hepatic duct. A transseptal needle was advanced, and the right hepatic duct was punctured by targeting an inflated balloon that was placed at the end of the obstructed right hepatic bile duct. After confirming successful puncture using contrast agent injected through the internal lumen of the needle, a 0.014-in. guidewire was advanced into the right hepatic duct. Finally, an 8.5-F internal-external biliary drainage tube was successfully placed without complications. One month after the procedure, the drainage tube was replaced with a 10.2-F drainage tube to dilate the created tract. Subsequent endoscopic internalization was performed 5 months after the procedure. At the 1-year follow-up examination, there was no sign of biliary obstruction and recurrence of hepatocellular carcinoma. Conclusions Recanalization using a transseptal needle can be an alternative technique for rigid biliary obstruction when conventional techniques fail.
キーワード
Biliary obstruction
Recanalization
Transseptal needle
Interventional radiology
カテゴリ
医学研究科
医学部附属病院
学術雑誌論文
権利
© The Author(s) 2020.
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
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journal article
言語
English (英語)
eISSN
2198-7793
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関連情報
DOI
https://doi.org/10.1186/s40792-020-01080-9
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