Association of Preoperative Biliary Drainage with Postoperative Morbidity after Pancreaticoduodenectomy

المؤلفون المشاركون

Liu, Chang
Lu, Jian-Wen
Du, Zhao-Qing
Liu, Xue-Min
Lv, Yi
Zhang, Xu-Feng

المصدر

Gastroenterology Research and Practice

العدد

المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-8، 8ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2015-12-22

دولة النشر

مصر

عدد الصفحات

8

التخصصات الرئيسية

الأمراض

الملخص EN

Background.

The advantages or disadvantages of preoperative biliary drainage (PBD) prior to pancreaticoduodenectomy (PD) remain unclear.

Methods.

A prospectively maintained database was queried for 335 consecutive patients undergoing standard PD surgery between 2009 and 2013.

Clinical data and postoperative complications of the 47 patients receiving PBD and 288 patients with early surgery were compared.

A matching analysis was also performed between patients receiving or not receiving PBD (no-PBD).

Results.

The indication for PBD was severe obstructive jaundice (81%) and cholangitis (26%) at the time of PBD.

47 PBD patients had higher bilirubin level than 288 no-PBD patients preoperatively (363.2 μ mol/L versus 136.0 μ mol/L, p < 0.001 ).

Although no significant difference of any complications could be observed between the two groups, positive intraoperative bile culture and wound infection seemed to be moderately increased in PBD compared to no-PBD patients ( p = 0.084 and 0.183, resp.).

In the matched-pair comparison, the incidence of wound infection was three times higher in PBD than no-PBD patients (14.9% versus 4.3%, p = 0.080 ).

Conclusions.

PBD seems to moderately increase the risk of postoperative wound and bile duct infection.

Therefore, PBD should be selectively performed prior to PD.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Liu, Chang& Lu, Jian-Wen& Du, Zhao-Qing& Liu, Xue-Min& Lv, Yi& Zhang, Xu-Feng. 2015. Association of Preoperative Biliary Drainage with Postoperative Morbidity after Pancreaticoduodenectomy. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1064120

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Liu, Chang…[et al.]. Association of Preoperative Biliary Drainage with Postoperative Morbidity after Pancreaticoduodenectomy. Gastroenterology Research and Practice No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1064120

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Liu, Chang& Lu, Jian-Wen& Du, Zhao-Qing& Liu, Xue-Min& Lv, Yi& Zhang, Xu-Feng. Association of Preoperative Biliary Drainage with Postoperative Morbidity after Pancreaticoduodenectomy. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1064120

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1064120