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World J Gastrointest Endosc. Mar 16, 2014; 6(3): 68-73
Published online Mar 16, 2014. doi: 10.4253/wjge.v6.i3.68
Published online Mar 16, 2014. doi: 10.4253/wjge.v6.i3.68
Table 1 Studies which have analyzed preoperative biliary drainage in hilar cholangiocarcinoma patients undergoing surgical resection
| Ref. | Total number of patients with PBD | PBD-associated morbidity | Serum bilirubin before surgery (mg/dL) | Duration of PBD (d) | Postoperative morbidity | Postoperative complications | Infectious complications | 5-year survival rate |
| Hochwald et al[9], 19991 | 42 (PTBD 23; ERBD 13; intraoperative 3; ENBD 1; PTBD and ERBD 1; ERBD and ENBD 1) | - | 5.6 ± 0.9 | - | 90% | 5% | 52% | - |
| Figueras et al[10], 20001 | 11 (PTBD 11) | - | 11.0 ± 9.4 | 16 ± 10 | 100% | 9% | 18% | 25% |
| Ferrero et al[11], 20091 | 30 (PTBD 18; ERBD 7; ERBD and PTBD 3; intraoperative 2) | 23% | 3.1 (0.3-14.1) | 27.5 (10-90) | 70% | 3% | 11% | - |
| Kloek et al[12], 20101 | 101 (PTBD 11; ERBD 90) | 76% | PTBD 1.1 ± 0.8; ERBD 1.3 ± 1.2 | PTBD 11 (3-21); ERBD 15 (4-29) | - | - | 48% | - |
| Grandadam et al[13], 20101 | 12 (PTBD 12) | 25% | 4.1 ± 2.5 | 32 ± 9 | 13% | 0 | - | 42% |
| Kawakami et al[14], 20111 | 128 (PTBD 48; ERBD 20; ENBD 60) | Total 40% (PTBD 31%; ERBD 65%; ENBD 38%) | 10.5 (2.2-29.3) | 11.4 (1-154) | 13% | 3% | - | - |
| Ratti et al[15], 20131 | 55 (PTBD 51; ERBD 4) | 18% | 3.4 ± 1.5 | 24 (10-36) | 46% | 5% | 7% | 29% |
| Farges et al[8], 20131 | 180 (PTBD 104; ERBD 63; PTBD and ERBD 13) | 33% | 2.8 (1.2-5.6) | 32 | 68% | 9% | - | - |
Table 2 Recommended indication for preoperative biliary drainage and total biliary drainage in hilar cholangiocarcinoma
| Preoperative biliary drainage | Right lobectomy for Bismuth type IIIA or IV hilar cholangiocarcinoma |
| Preoperative portal vein embolization and chemoradiation therapy | |
| Biliary infection of undrained bile duct | |
| Severe pruritus | |
| Total biliary drainage | Development of cholangitis after selective drainage |
| Slow resolution of hyperbilirubinemia | |
| Opacification of bilateral intrahepatic bile duct |
- Citation: Paik WH, Loganathan N, Hwang JH. Preoperative biliary drainage in hilar cholangiocarcinoma: When and how? World J Gastrointest Endosc 2014; 6(3): 68-73
- URL: https://www.wjgnet.com/1948-5190/full/v6/i3/68.htm
- DOI: https://dx.doi.org/10.4253/wjge.v6.i3.68