Controversy and strategy of preoperative biliary drainage reducing jaundice in hilar cholangiocarcinoma
10.3760/cma.j.issn.1673-9752.2018.03.004
- VernacularTitle:肝门部胆管癌术前行胆道引流术减轻黄疸的争议与策略
- Author:
Xiaoyu YIN
1
Author Information
1. 中山大学附属第一医院胆胰外科
- Keywords:
Bile tract neoplasms,hilar;
Radical resection;
Biliary drainage,preoperative;
Reducing jaundice;
Percutaneous transhepatic cholangial drainage;
Endoscopic biliary stent;
Endoscopic nasobiliary drainage
- From:
Chinese Journal of Digestive Surgery
2018;17(3):229-232
- CountryChina
- Language:Chinese
-
Abstract:
The radical resection is the only curative way for hilar cholangiocarcinoma,and combined hepatectomy is usually needed to achieve the goal of radical resection.Most patients with hilar cholangiocarcinoma are accompanied by obstructive jaundice.Although preoperative biliary drainage (PBD) can improve liver function,blood coagulation function,nutritional status and immunologic function,control acute cholangitis and promote liver regeneration,but a series of its drawbacks currently lead to a big controversy about application value of radical resection of hilar cholangiocarcinoma.Through reviewing literatures and combining with clinical practice experiences,author suggested some ideas on effects,disadvantages,application value,indication and method selection of PBD that will provide a reference in clinical practices.
