Abstract |
Fifty consecutive matched patients with benign or malignant biliary tract obstruction were compared to determine the efficacy of preoperative percutaneous biliary drainage (PBD). Twenty-five patients underwent PBD for an average of nine days before operation; 25 patients underwent percutaneous transhepatic cholangiography ( PTHC ) followed immediately by operation. Serum bilirubin levels before PTHC were 16.5 +/- 7.6 mg/dL and 14.9 +/- 7.6 mg/dL in PBD and non-PBD groups, respectively. Serum bilirubin levels decreased to 6.5 +/- 6.2 mg/dL preoperatively in patients having PBD. One week after operation, bilirubin levels were 4.2 +/- 4.3 mg/dL and 9.0 +/- 5.2 mg/dL in the PBD and non-PBD groups, respectively. Major morbidity ( sepsis, abscess, renal failure, or bleeding) occurred in two patients (8%) having PBD and in 13 patients (52%) without PBD. One patient (4%) with PBD, and five patients (20%) without PBD, died. The mean hospital stay was shorter for the PBD group. Preoperative PBD reduces operative mortality and morbidity and results in a more rapid resolution of hyperbilirubinemia during the postoperative period.
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Authors | S R Gundry, W E Strodel, J A Knol, F E Eckhauser, N W Thompson |
Journal | Archives of surgery (Chicago, Ill. : 1960)
(Arch Surg)
Vol. 119
Issue 6
Pg. 703-8
(Jun 1984)
ISSN: 0004-0010 [Print] United States |
PMID | 6428380
(Publication Type: Clinical Trial, Controlled Clinical Trial, Journal Article)
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Topics |
- Biliary Tract Surgical Procedures
- Cholestasis
(surgery)
- Drainage
- Humans
- Postoperative Complications
- Preoperative Care
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