The effect of two different preoperative biliary drainages on malignant obstructive jaundice complicated with acute cholangitis
10.3760/cma.j.issn.1007-631X.2013.12.014
- VernacularTitle:恶性梗阻性黄疸合并急性胆管炎的术前胆道引流治疗
- Author:
Baoxing JIA
;
Yahui LIU
;
Bai JI
;
Yingchao WANG
;
Wei ZHANG
;
Songyang LIU
;
Kai LIU
- Publication Type:Journal Article
- Keywords:
Jaundice,obstructive;
Drainage
- From:
Chinese Journal of General Surgery
2013;28(12):945-947
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate effects of two different preoperative biliary drainages on patients of malignant obstructive jaundice complicated with acute cholangitis.Methods Retrospective analysis was made on effects of two preoperative biliary drainages of ultrasound-guided percutaneous transhepatic cholangial drainage (PTCD) and endoscopic nasobiliary drainage (ENBD) in cases of malignant obstructive jaundice complicated with acute cholangitis.Results Days of preoperative drainage(t =3.217,P ＜ 0.05) and declines of bilirubin level after drainage (t =3.178,P ＜ 0.05) were significantly better in ENBD group (26 cases) than PTCD group (22 cases).There were no significant differences between two groups in operation time length and intraoperative blood loss after drainage.However,postoperative hospital stay (t =2.542,P ＜ 0.05) and overall stay (t =3.172,P ＜ 0.05) were significantly shorter in ENBD group compared with PTCD group.Conclusions When preoperative biliary drainage is indicated in the cases of malignant jaundice before radical surgery,ENBD should be the first choice over DTCD.
