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

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


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; drainage; hepatectomy.

MeSH terms

  • Digestive System Diseases / surgery
  • Drainage / methods*
  • Hepatectomy / adverse effects*
  • Humans
  • Jejunostomy / adverse effects*
  • Postoperative Complications / therapy*