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THE ROLE OF IF PREOPERATIVE BILIARY DRAINAGE IN THE PANCREATIC CANCER SURGERY

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Author(s): Dana Iancu | A. BartoČ™ | L. Mocanu | Teodora Mocanu | Raluca Bodea | F. Zaharie | Andra Andreescu | C. Iancu

Journal: Jurnalul de Chirurgie
ISSN 1584-9341

Volume: 7;
Issue: 2;
Start page: 188;
Date: 2011;
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Keywords: PANCREATIC CANCER | SURGICAL INTERVENTION | PREOPERATIVE BILIARY DRAINAGE | COMPLICATIONS

ABSTRACT
Introduction: Preoperative biliary drainage pre DPC is a very controversial subject; the indication for this endoscopic procedure is not yet unanimous accepted. Material and methods: The aim of this study is to find out if preoperative biliary drainage is bringing benefits to the perioperatory evolution of the patient. This is a prospective study from 2008 till 2010, done in Surgery Clinic no III of Cluj-Napoca. 201 patients with pancreatic cancer on which surgery with biliary anastomosis was performed were included in the study; 41 of them were preoperative biliary drained. Results: Patients who had preoperative biliary drainage had a higher percentage of postoperatory complications (p=0,049). Preoperative biliary drainage determined a non significant longer intraoperative time, blood lost and a not much harder intraoperative conditions. Septic complications were twice more frequent in patients with preoperative biliary drainage; the data were statistically validated (p=0,036). Conclusions: Preoperative biliary drainage must be done in carefully selected cases; the intervention that follows this endoscopic procedure should be performed by specialized surgical teams that can cope with harder intraoperative conditions.
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