Role of Preoperative Biliary Drainage in Resectable Hilar Cholangiocarcinoma

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Major hepatic resection for hilar cholangiocarcinoma without preoperative biliary drainage.

Hilar cholangiocarcinoma is a rare cancer in western countries but very high incidence in the northeast of Thailand. The only chance to cure is surgical resection. Preoperative biliary drainage (PBD) for improving liver function to decrease perioperative morbidity and mortality is claimed to be beneficial. To determine whether liver resection with hilar resection is a safe procedure in obstruct...

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Endoscopic Biliary Drainage of Hilar Cholangiocarcinoma

Cholangiocarcinoma is an uncommon malignancy which arises from biliary epithelial cells, anywhere along intraand extrahepatic biliary tract and can be divided into three groups by involved anatomy: intrahepatic, perihilar, and distal extrahepatic cholangiocarcinoma. Cure can only be achieved by surgical resection. Because of initial diagnosis as advanced disease and recurrence despite surgery a...

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Preoperative Biliary Drainage in Resectable Pancreatic Cancer

Pancreatoduodenectomy (PD) offers the only option for cure in resectable, nonmetastatic pancreatic and periampullary cancer [1]. However, PD is technically challenging and fraught with a significant risk of morbidity and even mortality [2]. Obstructive jaundice is one of the most common symptoms of pancreatic and periampullary cancer [3]. Hyperbilirubinaemia has been recognised as contributory ...

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A Comparison of Preoperative Biliary Drainage Methods for Perihilar Cholangiocarcinoma: Endoscopic versus Percutaneous Transhepatic Biliary Drainage

BACKGROUND/AIMS Controversy remains over the optimal approach to preoperative biliary drainage in patients with resectable perihilar cholangiocarcinoma. We compared the clinical outcomes of endoscopic biliary drainage (EBD) with those of percutaneous transhepatic biliary drainage (PTBD) in patients undergoing preoperative biliary drainage for perihilar cholangiocarcinoma. METHODS A total of 1...

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Preoperative endoscopic versus percutaneous transhepatic biliary drainage in potentially resectable perihilar cholangiocarcinoma (DRAINAGE trial): design and rationale of a randomized controlled trial

BACKGROUND Liver surgery in perihilar cholangiocarcinoma (PHC) is associated with high postoperative morbidity because the tumor typically causes biliary obstruction. Preoperative biliary drainage is used to create a safer environment prior to liver surgery, but biliary drainage may be harmful when severe drainage-related complications deteriorate the patients' condition or increase the risk of...

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ژورنال

عنوان ژورنال: Journal of Surgery: Open Access ( ISSN 2470-0991 )

سال: 2016

ISSN: 2470-0991

DOI: 10.16966/2470-0991.111