Cargando…
The Effects of Different Preoperative Biliary Drainage Methods on Complications Following Pancreaticoduodenectomy
The objective of this study was to investigate the effects of different preoperative biliary drainage (PBD) methods on complications in jaundiced patients following pancreaticoduodenectomy. We retrospectively analyzed 270 extrahepatic bile duct cancer patients who underwent pancreaticoduodenectomy....
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4554051/ https://www.ncbi.nlm.nih.gov/pubmed/25860221 http://dx.doi.org/10.1097/MD.0000000000000723 |
_version_ | 1782388001362411520 |
---|---|
author | Huang, Xin Liang, Bin Zhao, Xiang-Qian Zhang, Fu-Bo Wang, Xi-Tao Dong, Jia-Hong |
author_facet | Huang, Xin Liang, Bin Zhao, Xiang-Qian Zhang, Fu-Bo Wang, Xi-Tao Dong, Jia-Hong |
author_sort | Huang, Xin |
collection | PubMed |
description | The objective of this study was to investigate the effects of different preoperative biliary drainage (PBD) methods on complications in jaundiced patients following pancreaticoduodenectomy. We retrospectively analyzed 270 extrahepatic bile duct cancer patients who underwent pancreaticoduodenectomy. A total of 170 patients without PBD treatment were defined as the non-PBD group. According to different PBD methods, 45, 18, and 37 patients were classified into the percutaneous transhepatic biliary drainage (PTBD), endoscopic nasobiliary drainage (ENBD), and endoscopic retrograde biliary stent (ERBS) groups, respectively. Clinical characteristics and complications were compared among the 4 groups. Preoperative cholangitis occurred in 14 (8.2%) and 8 (21.6%) patients in the non-PBD and ERBS group, respectively (P = 0.04). Compared with the non-PBD group, delayed gastric emptying (DGE) and wound infection occurred significantly more often in the ERBS group. The incidence of severe complications was significantly lower in the PTBD group than the non-PBD group (P = 0.03). Postoperative hospital stay and complication rates were significantly higher in the ERBS group than the PTBD group. There were no significant differences in complications between ENBD and other groups. In conclusion, PTBD can improve surgical outcomes by reducing severe complication rate in jaundiced patients following pancreaticoduodenectomy. ERBS increased the rates of DGE and wound infection due to high incidence of cholangitis before operative intervention and should be avoided. ENBD carried no special effect on complications and needs further analysis. |
format | Online Article Text |
id | pubmed-4554051 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-45540512015-10-27 The Effects of Different Preoperative Biliary Drainage Methods on Complications Following Pancreaticoduodenectomy Huang, Xin Liang, Bin Zhao, Xiang-Qian Zhang, Fu-Bo Wang, Xi-Tao Dong, Jia-Hong Medicine (Baltimore) 4500 The objective of this study was to investigate the effects of different preoperative biliary drainage (PBD) methods on complications in jaundiced patients following pancreaticoduodenectomy. We retrospectively analyzed 270 extrahepatic bile duct cancer patients who underwent pancreaticoduodenectomy. A total of 170 patients without PBD treatment were defined as the non-PBD group. According to different PBD methods, 45, 18, and 37 patients were classified into the percutaneous transhepatic biliary drainage (PTBD), endoscopic nasobiliary drainage (ENBD), and endoscopic retrograde biliary stent (ERBS) groups, respectively. Clinical characteristics and complications were compared among the 4 groups. Preoperative cholangitis occurred in 14 (8.2%) and 8 (21.6%) patients in the non-PBD and ERBS group, respectively (P = 0.04). Compared with the non-PBD group, delayed gastric emptying (DGE) and wound infection occurred significantly more often in the ERBS group. The incidence of severe complications was significantly lower in the PTBD group than the non-PBD group (P = 0.03). Postoperative hospital stay and complication rates were significantly higher in the ERBS group than the PTBD group. There were no significant differences in complications between ENBD and other groups. In conclusion, PTBD can improve surgical outcomes by reducing severe complication rate in jaundiced patients following pancreaticoduodenectomy. ERBS increased the rates of DGE and wound infection due to high incidence of cholangitis before operative intervention and should be avoided. ENBD carried no special effect on complications and needs further analysis. Wolters Kluwer Health 2015-04-10 /pmc/articles/PMC4554051/ /pubmed/25860221 http://dx.doi.org/10.1097/MD.0000000000000723 Text en Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | 4500 Huang, Xin Liang, Bin Zhao, Xiang-Qian Zhang, Fu-Bo Wang, Xi-Tao Dong, Jia-Hong The Effects of Different Preoperative Biliary Drainage Methods on Complications Following Pancreaticoduodenectomy |
title | The Effects of Different Preoperative Biliary Drainage Methods on Complications Following Pancreaticoduodenectomy |
title_full | The Effects of Different Preoperative Biliary Drainage Methods on Complications Following Pancreaticoduodenectomy |
title_fullStr | The Effects of Different Preoperative Biliary Drainage Methods on Complications Following Pancreaticoduodenectomy |
title_full_unstemmed | The Effects of Different Preoperative Biliary Drainage Methods on Complications Following Pancreaticoduodenectomy |
title_short | The Effects of Different Preoperative Biliary Drainage Methods on Complications Following Pancreaticoduodenectomy |
title_sort | effects of different preoperative biliary drainage methods on complications following pancreaticoduodenectomy |
topic | 4500 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4554051/ https://www.ncbi.nlm.nih.gov/pubmed/25860221 http://dx.doi.org/10.1097/MD.0000000000000723 |
work_keys_str_mv | AT huangxin theeffectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy AT liangbin theeffectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy AT zhaoxiangqian theeffectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy AT zhangfubo theeffectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy AT wangxitao theeffectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy AT dongjiahong theeffectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy AT huangxin effectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy AT liangbin effectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy AT zhaoxiangqian effectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy AT zhangfubo effectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy AT wangxitao effectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy AT dongjiahong effectsofdifferentpreoperativebiliarydrainagemethodsoncomplicationsfollowingpancreaticoduodenectomy |