Selection of preoperative biliary drainage of perihilar cholangiocarcinoma
10.3760/cma.j.cn115396-20200402-00089
- VernacularTitle:肝门部胆管癌术前胆道引流方式的选择
- Author:
Xiaoyuan CHEN
1
;
Yi WANG
;
Yudong QIU
;
Liang MAO
Author Information
1. 南京医科大学鼓楼临床医学院 210008
- From:
International Journal of Surgery
2020;47(6):396-402
- CountryChina
- Language:Chinese
-
Abstract:
Preoperative biliary drainage (PBD) has become an essential part of perioperative management for perihilar cholangiocarcinoma. However, it is controversial about the indication of PBD. There are three main PBD methods, including percutaneous transhepatic biliary drainage, endoscopic nasobiliary drainage and endoscopic biliary stenting. At present, different centers have different preferences on PBD, and the controversies mainly focus on the followings: the relationship between percutaneous transhepatic biliary drainage and seeding metastasis; the success rate, tolerance and pancreatitis risk of endoscopic nasobiliary drainage; as an internal drainage, the merits and demerits of endoscopic biliary stenting. Additionally, whether PBD could increase the incidence of postoperative infections is still ambiguous. This review summarizes the recent scenario about the above-mentioned controversies to provide references for clinical decision-making.
