Preoperative Cholangiostomy for Pancreatic Head Cancer
نویسندگان
چکیده
The question of the need for routine preoperative drainage biliary tree in peripapillary tumor obstruction is still debatable. We conducted a retrospective randomized single–center study, first control point which was to study safety percutaneous drainage, second effect on number postoperative complications pancreatoduodenectomy (PD). results 85 Whipple’s PD head pancreas were analyzed. Preoperative (PBD) performed 75 (88.2 %) cases and represented by transhepatic cholangiostomy. 10 (11.8 patients did not undergo PBD. In period, level plasma bilirubin severity mechanical jaundice assessed according E.I. Galperin, 2014. frequency assessed, both after performing PBD PD, graded Clavien–Dindo scale. technical success cholangiostomy achieved 100 % cases, clinical efficacy significant decrease serum levels jaundice. Complications transcutaneous interventions corresponded III A Clavien– Dindo scale affect status. among without classes IIIA V scale: failure pancreatojejunostomy (30 %, 3 out 10) with formation pancreatic fistula, complete or partial hepaticojejunostomy 10). Infectious form abdominal abscesses suppuration wound found 20 (2 PBD, IIIB accumulations cavity (18.7 %), acute pancreatitis (12 focal necrosis (6.7 %). Abscesses retroperitoneal space, infection noted 14.7 %. After mortality rate 6 (7.1 (4 Using contingency tables calculation Fisher’s exact test Pearson’s coefficient, it that does from development infectious complications; absence significantly leads an increase failure.
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ژورنال
عنوان ژورنال: Onkologi?eskij žurnal: lu?evaâ diagnostika, lu?evaâ terapiâ
سال: 2022
ISSN: ['2587-7593', '2713-167X']
DOI: https://doi.org/10.37174/2587-7593-2022-5-4-89-95