In order to reduce the surgical morbidity in patients with jaundice many authors advocate preoperative biliary decompression (PBD). The purpose of this study is to evaluate the effect of PBD on postoperative morbidity and mortality after major pancreatic resection in patients with jaundice due to cancer of the head of the pancreas or of the papilla of Vater. We experienced a morbidity rate of 47% among patients drained before surgery, versus 27,6% in the group of patients without PBD; in the latter group the most frequent complication was the dehiscence of the pancreatico-jejunum anastomosis, while a larger number of sepsis and abdominal abscess was registered among patients drained preoperatively. In this study PBD did not decrease postoperative morbidity after pancreaticoduodenectomy in patients with malignant jaundice PBD seems to 'protect' from pancreatic anastomosis disruption, but to increase septic complications.
|Translated title of the contribution||Effects of preoperative biliary drainage in patients with neoplastic juandice who underwent duodenocephalopancreatectomy|
|Number of pages||4|
|Publication status||Published - 1993|
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