Pancreatic Disorders & Therapy
Open Access
ISSN: 2165-7092
+44 1478 350008
ISSN: 2165-7092
+44 1478 350008
Tshijanu F
Hellenic Red Cross Hospital of Athens
Greece
Research Article
Preoperative Biliary Drainage of Jaundiced Patients with Pancreatic Head Cancer: A Routine or Selective Strategy
Author(s): Tshijanu F, Toutouzas K, Mubaminyi L, Pidireki A, Alexakis N, Karaliotas C and ZografouTshijanu F, Toutouzas K, Mubaminyi L, Pidireki A, Alexakis N, Karaliotas C and Zografou
Most patients with pancreatic head cancer (85%) are jaundiced at presentation. Obstructive jaundice is believed to increase postoperative complications. According to some experimental and clinical studies, preoperative biliary drainage (PBD) improves postoperative outcomes. However, numerous randomized studies found that PBD might increase postoperative complications rate. Thus, PBD or not is controversial. Objective: To confirm if PBD can be a routine or selective strategy in these patients. Material and methods: A retrospective study comparing PBD with surgery alone in 200 jaundiced patients with pancreatic head cancer from 2nd Department of Surgery-Hellenic Red Cross Hospital of Athens (1996-2011). Data from patient’s files including: Age, gender, smoking, diabetes history, Laboratory parameters, procedures, post-operative course. Results: The majority of patients (62.5% ) we.. View More»
DOI:
10.4172/2165-7092.1000185