Hatfield A R, Tobias R, Terblanche J, Girdwood A H, Fataar S, Harries-Jones R, Kernoff L, Marks I N
Lancet. 1982 Oct 23;2(8304):896-9. doi: 10.1016/s0140-6736(82)90866-2.
57 patients with obstructive jaundice were randomly allocated to surgery with preoperative external biliary drainage (29 patients) and without preoperative external biliary drainage (28 patients). 22 patients ultimately underwent laparotomy after a mean of 11.7 days of drainage and 25 had surgery without preoperative drainage. The postoperative complication rate was low and similar in both groups but complications associated with the drainage procedure were substantial. Perioperative mortality was 4/28 (14%) in the drainage group and 4/27 (15%) in the non-drainage group. There seems to be no advantage associated with routine preoperative external biliary drainage before surgery for obstructive jaundice.
57例梗阻性黄疸患者被随机分为两组，29例患者术前行外引流术，28例患者术前行外引流术。22例患者平均引流11.7天后最终接受剖腹手术，25例患者未行术前引流直接接受手术。两组术后并发症发生率均较低且相似，但与引流相关的并发症较多。引流组围手术期死亡率为4/28（14%），非引流组为4/27（15%）。对于梗阻性黄疸患者，术前常规行外引流术似乎并无优势。
