Preoperative Biliary Drainage in Resectable Pancreatic Cancer
نویسندگان
چکیده
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 to post operative morbidity in pancreatobiliary surgery [4-6]. Based on this, preoperative biliary drainage was recommended prior to surgery in patients with malignant obstructive jaundice.
منابع مشابه
Preoperative Biliary Drainage in Cases of Borderline Resectable Pancreatic Cancer Treated with Neoadjuvant Chemotherapy and Surgery
Objective. To elucidate the optimum preoperative biliary drainage method for patients with pancreatic cancer treated with neoadjuvant chemotherapy (NAC). Material and Methods. From January 2010 through December 2014, 20 patients with borderline resectable pancreatic cancer underwent preoperative biliary drainage and NAC with a plastic or metallic stent and received NAC at Hiroshima University H...
متن کاملCost-effectiveness of preoperative biliary drainage for obstructive jaundice in pancreatic and periampullary cancer
BACKGROUND A recent Cochrane Review found that preoperative biliary drainage (PBD) in patients with resectable pancreatic and periampullary cancer undergoing surgery for obstructive jaundice is associated with similar mortality but increased serious morbidity compared with no PBD. Despite this clinical evidence of its lack of effectiveness, PBD is still in use. We considered the economic implic...
متن کامل[New developments in the treatment of pancreatic cancer].
- The incidence of pancreatic cancer is increasing due to the ageing population among other things, while 5-year survival has improved in the past two decades from 3 to 7%.- In case of biliary obstruction due to pancreatic cancer, biliary drainage before surgery or ablative therapy using a covered metal stent instead of plastic reduces the rate of complications.- In patients with metastasized p...
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The patient is a 57-year old Caucasian female who presented with right upper quadrant pain and obstructive jaundice and was diagnosed with resectable pancreatic cancer. She underwent pancreaticoduodenectomy (PD) after preoperative biliary stenting. She subsequently presented to the clinic, where it was noticed that she had an elevated CA 19-9. CT C/A/P revealed multiple new liver lesions.
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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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