Use this url to cite publication: https://hdl.handle.net/20.500.12512/111811
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Biliary stenting prior radical pancreatoduodenal resection / Romualdas Riauka, Matas Pazusis, Kęstutis Urbonas, Giedrius Barauskas
Type of publication
Konferencijų tezės nerecenzuojamame leidinyje / Conference theses in non-peer-reviewed publication (T2)
Title
Biliary stenting prior radical pancreatoduodenal resection / Romualdas Riauka, Matas Pazusis, Kęstutis Urbonas, Giedrius Barauskas
Publisher (trusted)
Baltic Association of Surgeons |
Date Issued
Date Issued |
---|
2021-06-03 |
Extent
p. 68-69.
Is part of
10th Congress of the Baltic Association of Surgeons - BAS : Abstract book : 3-4 June, 2021 / Baltic Association of Surgeons. Riga : Baltic Association of Surgeons, 2021.
Version
Originalus / Original
Description
Hepato-pancreato-biliary Surgery
Field of Science
Abstract
Objectives Pancreaticoduodenectomy is the only potentially curative treatment for resectable periampullary tumors, often presenting with obstructive jaundice and cholangitis. Since surgery in patients with jaundice and acute cholangitis is associated with increased rate of postoperative complications, preoperative biliary drainage was introduced to improve outcomes. However, recent studies revealed, that overall complication rate was higher in patients with preoperative biliary drainage, compared with patients who proceeded directly into surgery. Our aim was to evaluate and compare 60 days perioperative outcomes of patients with and without biliary stents before pancreatoduodenal resection in our hospital. Materials and Methods Retrospective review of patients undergoing pancreatoduodenal resection for periampullary tumors from 2012 to 2018 at the Department of Surgery, Hospital of the Lithuanian University of Health Sciences was performed. Study population, according to endoscopic biliary stenting prior operation was divided into two groups. Patients were reviewed for demographic features, complication rates and outcomes. Results During the investigated period 115 patients with median age of 68 years underwent pancreatoduodenal resection due to periampullary tumors. Group I – 41 patients with preoperative biliary stenting (35.6%), Group II – 74 patients without biliary stenting (64.4%). Group I patients developed acute cholangitis in 38 cases (92.8%) compared to 50 in group II (67.5%) (p<0.01). Most of the cholangitis in both groups were caused by hospital-acquired pathogenic microorganisms: Enteroccocus supp., Klebsiella Oxytoca, Klebsiella Pneumonia and Citrobacter Freundii. Patients with biliary stents had significantly higher Clavien-Dindo grade 1-2 complication rates compared to control group (83.7% (n=36) vs 50.5% (n=47), p<0.001). Postoperative pancreatic fistulas were diagnosed in 8 patients (7%):[...].
Type of document
type::text::conference output::conference proceedings::conference paper
Other Identifier(s)
(LSMU ALMA)990001043920107106
Coverage Spatial
Latvija / Latvia (LV)
Language
Anglų / English (en)