Effect of Pre-operative Biliary Drainage on Surgical Outcomes after Pancreaticoduodenectomy in Patients with Common Bile Duct Cancer
Korean Journal of Hepato-Biliary-Pancreatic Surgery
;
: 103-108, 2009.
Article
in English
| WPRIM
| ID: wpr-173592
ABSTRACT
INTRODUCTION:
Biliary drainage is tried before surgery because it is thought that obstructive jaundice is associated with post-operative mortality and morbidity. However, there are no confirmed criteria about the optimal operation time after drainage. We attempted to determine the appropriate pre-operative bilirubin level after drainage which should be achieved before pancreaticoduodenectomy is done for extrahepatic bile duct cancer.METHODS:
We reviewed 100 patients (69 males and 31 females with a mean age of 61.3 +/- 9.4 years) who underwent pancreaticoduodenectomy after a pre-operative biliary drainage procedure for distal common bile duct cancer by one surgeon at the Asan Medical Center in Seoul Korea between 1994 and 2005.RESULTS:
We compared the group with pre-operative bilirubin levels or = 5.0 mg/dl (N = 86). In the bilirubin or = 5.0 group (p = 0.032).CONCLUSION:
The pre-operative bilirubin or = 5.0 groups had a clear difference in postoperative morbidity. Therefore, we suggest waiting until the pre-operative bilirubin level decreases to <5.0 mg/dl after biliary drainage.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Bilirubin
/
Hemoglobins
/
Drainage
/
Cholangitis
/
Pancreaticoduodenectomy
/
Bile Ducts, Extrahepatic
/
Common Bile Duct
/
Creatinine
/
Jaundice, Obstructive
/
Korea
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Year:
2009
Type:
Article
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