Does preoperative biliary stenting affect the outcome of pancreatico-duodenectomy?
Article
Dans Anglais
| IMSEAR
| ID: sea-64970
ABSTRACT
BACKGROUND:
Controversy exists whether preoperative endoscopic biliary stenting to reduce serum bilirubin level affects the outcome of pancreaticoduodenectomy.AIM:
To determine whether preoperative endoscopic biliary stenting is associated with altered morbidity or mortality after pancreaticoduodenectomy.METHODS:
In 37 consecutive patients with periampullary lesion undergoing pancreaticoduodenectomy over a 6-year period, frequency of septic complications, occurrence of pancreatic leak or bleeding, duration of hospital stay, and mortality were studied; of these, 15 had preoperative biliary stenting and 22 had not.RESULTS:
Postoperative infective complications occurred more often in the patients with biliary stent than in those without (26% vs 0%, p=0.04). Postoperative recovery time, hospital stay and mortality were similar in the two groups.CONCLUSION:
Preoperative biliary stenting is associated with septic complications, but this does not affect postoperative recovery after pancreaticoduodenectomy.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Tumeurs du pancréas
/
Infection de plaie opératoire
/
Conduits biliaires
/
Bilirubine
/
Sujet âgé
/
Soins préopératoires
/
Femelle
/
Humains
/
Mâle
/
Études cas-témoins
Type d'étude:
Étude observationnelle
/
Facteurs de risque
langue:
Anglais
Année:
2003
Type:
Article
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