A study comparing PTCD with ENBD on jaundiced patients before laparoscopic pancreaticoduodenectomy
10.3760/cma.j.cn113884-20210621-00201
- VernacularTitle:PTCD与ENBD减轻黄疸对腹腔镜胰十二指肠切除术围手术期影响的比较研究
- Author:
Chengxu DU
1
;
Jiaxuan LI
;
Dongrui LI
;
Minghao SU
;
Xueqiang YA
;
Wenbin WANG
;
Jianhua LIU
Author Information
1. 河北医科大学第二医院肝胆外科，石家庄 050000
- Keywords:
Jaundice;
Laparoscopy;
Pancreaticoduodenectomy;
Percutaneous transhepatic cholangial drainage;
Endoscopic nasobiliary drainage
- From:
Chinese Journal of Hepatobiliary Surgery
2022;28(2):113-116
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare and analyze the perioperative outcomes of jaundiced patients undergoing laparoscopic pancreaticoduodenectomy (LPD) using preoperative percutaneous transhepatic cholangial drainage (PTCD) versus endoscopic nasobiliary drainage (ENBD).Methods:The perioperative data of 173 patients who underwent LPD at the Second Hospital of Hebei Medical University from January 2016 to December 2020 and were treated preoperatively with either PTCD versus ENBD to alleviate jaundiced were retrospectively analyzed. There were 100 males and 73 females, with age of (60.4±10.8) years old. These patients were divided into the PTCD group ( n=126) and the ENBD group ( n=47). Clinical data including operation time, blood loss, transfusion volume, R 0 resection, and postoperative complications were compared. Results:There was no convension to open surgery. There were no significant differences in operation time, blood loss, transfusion volume, R 0 resection rate, pathological results and hospital stay between the two groups ( P>0.05). For the PTCD group, the pancreatic fistula rate was 10.3% (13/126) and the post-operative hemorrhage rate was 8.7% (11/126). They were both significantly lower than those of the ENBD group [25.5% (12/47) and 25.5% (12/47) respectively, P<0.05]. There were also significant differences in the postoperative complications according to the Clavien-Dindo classification system between the two groups ( P=0.008). Conclusion:Compared with ENBD, PTCD had the advantages of lower post-operative pancreatic fistula and post-operative hemorrhage rates, resulting in a better postoperative recovery.
