Langenbecks Arch Surg (2017) 402:1187–1196 https://doi.org/10.1007/s00423-017-1635-0 ORIGINAL ARTICLE Unnecessary preoperative biliary drainage: impact on perioperative outcomes of resectable periampullary tumors 1 1 1 Jean-Baptiste Cazauran & Julie Perinel & Vahan Kepenekian & 1 1 2 2 Michel El Bechwaty & Gennaro Nappo & Mathieu Pioche & Thierry Ponchon & Mustapha Adham Received: 17 July 2017 /Accepted: 25 October 2017 /Published online: 31 October 2017 Springer-Verlag GmbH Germany 2017 Abstract to Bupfront-surgery^ group (95%CI [24.4–46.2]; p <0.001). Objective Routine preoperative endoscopic biliary drainage The Bunnecessary-PEBD^ group had a post-PEBD complica- (PEBD) is not recommended for malignant periampullary tu- tion rate of 34.6%, and 7.7% were unresectable due to severe mors (MPT) with uncomplicated obstructive cholestasis, yet fibrosis following PEBD-induced acute pancreatitis. many patients still receive routine PEBD. Herein were Perioperative severe complication rate was higher in the assessed perioperative outcomes of routine PEBD in resect- Bunnecessary-PEBD^ (73.1%) than in the Bupfront-surgery^ able MPT with uncomplicated biliary obstruction. group (37.5%, p = 0.005), as was Clavien-Dindo grade > II Methods From 2008 to 2014, we identified three groups post-operative complication rate (65.4 and 37.5%; p =0.03). among patients undergoing surgery for resectable MPT: Conclusion Routine preoperative biliary drainage is associat- Bunnecessary-PEBD^
Langenbeck's Archives of Surgery – Springer Journals
Published: Oct 31, 2017
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