Indications and clinical controversies of preoperative biliary drainage at different anatomical sites in malignant obstructive jaundice
10.7659/j.issn.1005-6947.250363
- VernacularTitle:不同解剖部位恶性梗阻性黄疸术前胆道引流的适应证与临床争议
- Author:
Xuean ZHAO
1
;
Wenke QIN
;
Xin LI
;
Wence ZHOU
Author Information
1. 兰州大学第二临床医学院,甘肃兰州 730000
- Publication Type:Journal Article
- Keywords:
Jaundice,Obstructive;
Bile Duct Neoplasms;
Pancreatic Neoplasms;
Preoperative Biliary Drainage;
Review
- From:
Chinese Journal of General Surgery
2025;34(8):1758-1765
- CountryChina
- Language:Chinese
-
Abstract:
Malignant obstructive jaundice is a severe pathophysiological disorder characterized primarily by hyperbilirubinemia secondary to biliary obstruction.To mitigate the adverse effects of hyperbilirubinemia and reduce postoperative complications,preoperative biliary drainage(PBD)has long been employed as a perioperative management strategy.Nevertheless,whether PBD confers definitive clinical benefits remains a subject of considerable debate.This review systematically summarizes the current literature,with particular emphasis on the indications,approaches,and clinical value of PBD in relation to obstruction at different anatomical sites,aiming to provide evidence-based guidance for surgical decision-making in patients with malignant obstructive jaundice.
