壶腹周围良恶性疾病的术前支架置入：若无危害则无必要。
Preoperative Stenting for Benign and Malignant Periampullary Diseases: Unnecessary if Not Harmful.
作者信息
Gholami Sepideh, Brennan Murray F
机构信息
Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, C-1272, New York, NY 10065, USA.
Memorial Sloan Kettering Cancer Center, International Center, 1275 York Avenue, H-1203, New York, NY 10065, USA.
出版信息
Surg Clin North Am. 2018 Feb;98(1):37-47. doi: 10.1016/j.suc.2017.09.005.
Abstract
Preoperative biliary drainage (PBD) is often performed in patients with jaundice with the presumption that it will decrease the risk of postoperative complications. PBD carries its own risk of complications and, therefore, has been controversial. Multiple randomized controlled trials and metaanalyses have shown that PBD has significantly increased overall complications compared with surgery alone. As such, the routine application of PBD should be avoided except in a subset of clinical situations. This is discussed in detail in this article.
摘要
术前胆道引流（PBD）常用于黄疸患者，基于这样的推测，即它将降低术后并发症的风险。PBD本身存在并发症风险，因此一直存在争议。多项随机对照试验和荟萃分析表明，与单纯手术相比，PBD显著增加了总体并发症。因此，应避免常规应用PBD，除非在特定的临床情况下。本文将对此进行详细讨论。
相似文献
1
Preoperative Stenting for Benign and Malignant Periampullary Diseases: Unnecessary if Not Harmful.
Surg Clin North Am. 2018 Feb;98(1):37-47. doi: 10.1016/j.suc.2017.09.005.
2
A Tale of 2 Techniques: Preoperative Biliary Drainage and Routine Surgical Drainage with Pancreaticoduodenectomy.
Surg Clin North Am. 2018 Feb;98(1):49-55. doi: 10.1016/j.suc.2017.09.004.
3
Preoperative biliary drainage for periampullary tumors causing obstructive jaundice; DRainage vs. (direct) OPeration (DROP-trial).
BMC Surg. 2007 Mar 12;7:3. doi: 10.1186/1471-2482-7-3.
4
[A study of the value of preoperative biliary-tract drainage in the treatment of periampullary tumours: the DROP-trial].
Ned Tijdschr Geneeskd. 2006 Mar 4;150(9):509-11.
5
Preoperative biliary decompression preceding pancreaticoduodenectomy with plastic or self-expandable metallic stent.
Scand J Surg. 2015 Jun;104(2):79-85. doi: 10.1177/1457496914543975. Epub 2014 Jul 15.
6
The current status of preoperative biliary drainage for patients who receive pancreaticoduodenectomy for periampullary carcinoma: a comprehensive review.
Surgeon. 2014 Oct;12(5):290-6. doi: 10.1016/j.surge.2014.02.004. Epub 2014 Mar 17.
7
The effect of preoperative biliary drainage on postoperative complications after pancreaticoduodenectomy.
J Am Coll Surg. 2001 Jun;192(6):726-34. doi: 10.1016/s1072-7515(01)00819-5.
8
Effect of preoperative biliary drainage on bacterial flora in bile of patients with periampullary cancer.
Br J Surg. 2017 Jan;104(2):e182-e188. doi: 10.1002/bjs.10450.
9
Effect of preoperative biliary drainage on surgical outcome after pancreaticoduodenectomy.
Hepatogastroenterology. 2006 Nov-Dec;53(72):823-7.
10
Metal versus plastic stents for drainage of malignant biliary obstruction before primary surgical resection.
Gastrointest Endosc. 2016 Nov;84(5):814-821. doi: 10.1016/j.gie.2016.04.018. Epub 2016 Apr 22.
引用本文的文献
1
Current Perioperative Care in Pancreatoduodenectomy: A Step-by-Step Surgical Roadmap from First Visit to Discharge.
Cancers (Basel). 2023 Apr 26;15(9):2499. doi: 10.3390/cancers15092499.
2
[Surgery for periampullary pancreatic cancer].
Chirurg. 2021 Sep;92(9):776-787. doi: 10.1007/s00104-021-01462-1. Epub 2021 Jul 14.
3
Epidemiological profile, referral routes and diagnostic accuracy of cases of acute cholangitis among individuals with obstructive jaundice admitted to a tertiary-level university hospital: a cross-sectional study.
Sao Paulo Med J. 2019 Nov-Dec;137(6):491-497. doi: 10.1590/1516-3180.2019.0109170919.
本文引用的文献
1
Systematic review and meta-analysis of metal versus plastic stents for preoperative biliary drainage in resectable periampullary or pancreatic head tumors.
Eur J Surg Oncol. 2016 Sep;42(9):1278-85. doi: 10.1016/j.ejso.2016.05.001. Epub 2016 May 24.
2
Metal or plastic stents for preoperative biliary drainage in resectable pancreatic cancer.
Gut. 2016 Dec;65(12):1981-1987. doi: 10.1136/gutjnl-2014-308762. Epub 2015 Aug 25.
3
Cost-effectiveness of preoperative biliary drainage for obstructive jaundice in pancreatic and periampullary cancer.
J Surg Res. 2015 Jan;193(1):202-9. doi: 10.1016/j.jss.2014.07.060. Epub 2014 Jul 30.
4
Preoperative biliary decompression preceding pancreaticoduodenectomy with plastic or self-expandable metallic stent.
Scand J Surg. 2015 Jun;104(2):79-85. doi: 10.1177/1457496914543975. Epub 2014 Jul 15.
5
Meta-analysis of randomized clinical trials on safety and efficacy of biliary drainage before surgery for obstructive jaundice.
Br J Surg. 2013 Nov;100(12):1589-96. doi: 10.1002/bjs.9260.
6
Biliary self-expandable metal stents do not adversely affect pancreaticoduodenectomy.
Am J Gastroenterol. 2013 Jul;108(7):1168-73. doi: 10.1038/ajg.2013.93. Epub 2013 Apr 2.
7
Self-expanding metal stents (SEMS) provide superior outcomes compared to plastic stents for pancreatic cancer patients undergoing neoadjuvant therapy.
J Gastrointest Oncol. 2012 Dec;3(4):309-13. doi: 10.3978/j.issn.2078-6891.2011.050.
8
Biliary metal stents are superior to plastic stents for preoperative biliary decompression in pancreatic cancer.
Surg Endosc. 2011 Jul;25(7):2364-7. doi: 10.1007/s00464-010-1552-6. Epub 2011 Mar 4.
9
Therapeutic delay and survival after surgery for cancer of the pancreatic head with or without preoperative biliary drainage.
Ann Surg. 2010 Nov;252(5):840-9. doi: 10.1097/SLA.0b013e3181fd36a2.
10
Preoperative biliary drainage for cancer of the head of the pancreas.
N Engl J Med. 2010 Jan 14;362(2):129-37. doi: 10.1056/NEJMoa0903230.
Zotero 插件