A Tale of 2 Techniques Preoperative Biliary Drainage and Routine Surgical Drainage with Pancreaticoduodenectomy

被引：5

作者：

Iskandar, Mazen E. ^{[1
]}

Wayne, Michael G. ^{[2
]}

Steele, Justin G. ^{[2
]}

Cooperman, Avram M. ^{[2
]}

机构：

[1] Mt Sinai Beth Israel, Dept Surg, 10 Union Sq East,Suite 2M, New York, NY 10003 USA

[2] Pancreas Biliary & Adv Laparoscopy Ctr New York, 305 Second Ave, New York, NY 10003 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2018年 / 98卷 / 01期

关键词：

Pancreatectomy; Whipple procedure; Pancreatic cancer; Jaundice; Biliary stenting; Drainage; UNDERSTANDING HOSPITAL READMISSIONS; RANDOMIZED CLINICAL-TRIAL; OBSTRUCTIVE-JAUNDICE; INTRAPERITONEAL DRAINAGE; PANCREATIC HEAD; RESECTION; MANAGEMENT; ADENOCARCINOMA; CATHETER; THERAPY;

D O I：

10.1016/j.suc.2017.09.004

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Preoperative drainage of an obstructed biliary tree before pancreaticoduodenal resection (PDR) and placement of intraabdominal drains following pancreatic resection have been suggested to be both unnecessary and associated with a higher complication rate. The evidence for and against that practice is presented and analyzed to highlight its risks and benefits. A selective approach on an individual basis for preoperative biliary decompression is advocated, based on multiple factors. In addition, the evidence for routine use of surgical drains after PDR is critically reviewed and the rationale for routine drainage is made.

引用

页码：49 / +

页数：8

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