A Tale of 2 Techniques: Preoperative Biliary Drainage and Routine Surgical Drainage with Pancreaticoduodenectomy

Mazen E. Iskandar; Michael G. Wayne; Justin G. Steele; Avram M. Cooperman

doi:10.1016/j.suc.2017.09.004

A Tale of 2 Techniques: Preoperative Biliary Drainage and Routine Surgical Drainage with Pancreaticoduodenectomy

Mazen E. Iskandar, Michael G. Wayne, Justin G. Steele, Avram M. Cooperman

Research output: Contribution to journal › Review article › peer-review

5 Scopus citations

Abstract

Preoperative drainage of an obstructed biliary tree before pancreaticoduodenal resection (PDR) and placement of intraabdominal drains following pancreatic resection have been suggested to be both unnecessary and associated with a higher complication rate. The evidence for and against that practice is presented and analyzed to highlight its risks and benefits. A selective approach on an individual basis for preoperative biliary decompression is advocated, based on multiple factors. Additionally, the evidence for routine use of surgical drains after PDR is critically reviewed and the rationale for routine drainage is made.

Original language	English
Pages (from-to)	49-55
Number of pages	7
Journal	Surgical Clinics of North America
Volume	98
Issue number	1
DOIs	https://doi.org/10.1016/j.suc.2017.09.004
State	Published - Feb 2018
Externally published	Yes

Keywords

Biliary stenting
Drainage
Jaundice
Pancreatectomy
Pancreatic cancer
Whipple procedure

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10.1016/j.suc.2017.09.004

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title = "A Tale of 2 Techniques: Preoperative Biliary Drainage and Routine Surgical Drainage with Pancreaticoduodenectomy",

abstract = "Preoperative drainage of an obstructed biliary tree before pancreaticoduodenal resection (PDR) and placement of intraabdominal drains following pancreatic resection have been suggested to be both unnecessary and associated with a higher complication rate. The evidence for and against that practice is presented and analyzed to highlight its risks and benefits. A selective approach on an individual basis for preoperative biliary decompression is advocated, based on multiple factors. Additionally, the evidence for routine use of surgical drains after PDR is critically reviewed and the rationale for routine drainage is made.",

keywords = "Biliary stenting, Drainage, Jaundice, Pancreatectomy, Pancreatic cancer, Whipple procedure",

author = "Iskandar, {Mazen E.} and Wayne, {Michael G.} and Steele, {Justin G.} and Cooperman, {Avram M.}",

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T2 - Preoperative Biliary Drainage and Routine Surgical Drainage with Pancreaticoduodenectomy

AU - Iskandar, Mazen E.

AU - Wayne, Michael G.

AU - Steele, Justin G.

AU - Cooperman, Avram M.

PY - 2018/2

Y1 - 2018/2

N2 - Preoperative drainage of an obstructed biliary tree before pancreaticoduodenal resection (PDR) and placement of intraabdominal drains following pancreatic resection have been suggested to be both unnecessary and associated with a higher complication rate. The evidence for and against that practice is presented and analyzed to highlight its risks and benefits. A selective approach on an individual basis for preoperative biliary decompression is advocated, based on multiple factors. Additionally, the evidence for routine use of surgical drains after PDR is critically reviewed and the rationale for routine drainage is made.

AB - Preoperative drainage of an obstructed biliary tree before pancreaticoduodenal resection (PDR) and placement of intraabdominal drains following pancreatic resection have been suggested to be both unnecessary and associated with a higher complication rate. The evidence for and against that practice is presented and analyzed to highlight its risks and benefits. A selective approach on an individual basis for preoperative biliary decompression is advocated, based on multiple factors. Additionally, the evidence for routine use of surgical drains after PDR is critically reviewed and the rationale for routine drainage is made.

KW - Biliary stenting

KW - Drainage

KW - Jaundice

KW - Pancreatectomy

KW - Pancreatic cancer

KW - Whipple procedure

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DO - 10.1016/j.suc.2017.09.004

M3 - Review article

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AN - SCOPUS:85035108315

SN - 0039-6109

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EP - 55

JO - Surgical Clinics of North America

JF - Surgical Clinics of North America

IS - 1

ER -

A Tale of 2 Techniques: Preoperative Biliary Drainage and Routine Surgical Drainage with Pancreaticoduodenectomy

Abstract

Keywords

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