Preoperative Biliary Drainage in Patients with Resectable Perihilar Cholangiocarcinoma: Is Percutaneous Transhepatic Biliary Drainage Safer and More Effective than Endoscopic Biliary Drainage? A Meta-Analysis

Mahjoub, Aimen Al; Menahem, Benjamin; Fohlen, Audrey; Dupont, B.; Alvès, Arnaud; Launoy, Guy; Lubrano, Jean

doi:10.1016/j.jvir.2016.12.1218

Cited by 93 publications

(55 citation statements)

References 23 publications

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“…Al Mahjoub et al . reported that PTBD was associated with significantly lower overall procedure‐related morbidity than EBD (26.5% versus 44.3%, P = 0.0009) in patients with resectable perihilar cholangiocarcinoma . Therefore, the PBD procedure needs to be chosen according to the condition of each individual patient.…”

Section: Discussionmentioning

confidence: 99%

“…Although only surgical resection involving pancreatoduodenectomy (PD) is the mainstay of curative treatment for patients with DCC, the 5‐year survival rate is still poor, ranging from 18% to 40%, due to the high rate of cancer recurrence . Because patients with DCC usually present with obstructive jaundice preoperatively, routine biliary drainage (BD) has been favoured in most Asian countries . Both percutaneous transhepatic biliary drainage (PTBD) and endoscopic biliary drainage (EBD) are two established protocols of preoperative biliary drainage (PBD) for relief of cholestasis.…”

Section: Introductionmentioning

confidence: 99%

“…Both percutaneous transhepatic biliary drainage (PTBD) and endoscopic biliary drainage (EBD) are two established protocols of preoperative biliary drainage (PBD) for relief of cholestasis. Recent advances in endoscopic devices and techniques have led to the frequent use of EBD . It has been reported that PTBD is associated with a poorer outcome than EBD due to an increased incidence of peritoneal recurrence in patients with pancreatic cancer and perihilar cholangiocarcinoma who undergo surgery .…”

Section: Introductionmentioning

confidence: 99%

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Impact of preoperative percutaneous transhepatic biliary drainage on post‐operative survival in patients with distal cholangiocarcinoma

Mori

Aoki

Park

et al. 2019

ANZ Journal of Surgery

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Background: The aim of this study was to investigate the long-term impact of the type of preoperative biliary drainage used for patients undergoing pancreatoduodenectomy for distal cholangiocarcinoma (DCC). Methods: A total of 84 patients with DCC who underwent preoperative biliary drainage between June 2000 and December 2016 were divided into groups for whom percutaneous transhepatic biliary drainage (PTBD) (n = 24) or endoscopic biliary drainage (EBD) (n = 60) was used. Results: The 5-year overall survival in the PTBD group was significantly worse than that in the EBD group (16.7% versus 52.3%, P = 0.007). After propensity score matching (22 patients in each group), the 5-year overall survival in the PTBD group was still worse than that in the EBD group (13.6% versus 61.2%, P = 0.003). Multivariate analysis revealed that PTBD was independent risk factor for both poor survival (P = 0.028) and peritoneal recurrence (P = 0.018). The incidence of multiple sites at initial recurrence tended to be higher in the PTBD group than in the EBD group (P = 0.080). Conclusions: PTBD should not be performed for patients undergoing pancreatoduodenectomy for DCC, except when EBD is contraindicated, as PTBD is significantly associated with shorter survival and peritoneal recurrence.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of preoperative percutaneous transhepatic biliary drainage on post‐operative survival in patients with distal cholangiocarcinoma

Mori

Aoki

Park

et al. 2019

ANZ Journal of Surgery

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“…Despite these apparent advantages of performing a preoperative biliary drainage, the safety of the conventional preoperative biliary drainage has not been widely acknowledged, and the benefit remains controversial [3,14]. Endoscopic biliary drainage (EBD) and percutaneous transhepatic biliary drainage (PTBD) are the two preoperative biliary drainage procedures available [2,15]. Endoscopic drainage methods may be more suitable for type I and II tumors, while type III and IV tumors may be more easily drained percutaneously; nevertheless, there is not a guideline, and no consensus has been reached about the preferred approach, so the choice is usually made according to the local expertise and availability [5,15].…”

Section: Introductionmentioning

confidence: 99%

Preoperative Biliary Drainage: Methods, Advantages, and Complications

Ángel¹,

Santiago²

2019

Bile Duct Cancer

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Malignant biliary obstruction is very difficult to treat; only 10-20% of the patients are suitable for curative resections. Obstructive jaundice is associated with a pro-inflammatory state, altering the normal physiology and affecting multiple organ systems. So, patients with malignant obstructive jaundice are at increased risk of postoperative complications. Nevertheless, the preoperative biliary drainage (PBD) remains controversial, because the procedures themselves can be associated with septic and other complications. The main therapeutic options for PBD in malignant biliary obstruction are percutaneous biliary drainage and endoscopic biliary drainage. The knowledge of the approaches, their advantages, and complications are essential for the management of patients with pathologies that produce biliary obstruction such as bile duct cancer. The aim of this chapter is to review the methods for biliary drainage and its indications, advantages, and complications.

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“…ity for ERCP versus PTBD [8,9]. On the other hand, a more recent, retrospective study found that major postoperative morbidity was more frequent after percutaneous versus endoscopic drainage before major hepatic resection [10].…”

mentioning

confidence: 99%

Preoperative biliary drainage in hilar cholangiocarcinoma: when and how?

Neuhaus

2020

Endosc Int Open

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Preoperative Biliary Drainage in Patients with Resectable Perihilar Cholangiocarcinoma: Is Percutaneous Transhepatic Biliary Drainage Safer and More Effective than Endoscopic Biliary Drainage? A Meta-Analysis

Cited by 93 publications

References 23 publications

Impact of preoperative percutaneous transhepatic biliary drainage on post‐operative survival in patients with distal cholangiocarcinoma

Impact of preoperative percutaneous transhepatic biliary drainage on post‐operative survival in patients with distal cholangiocarcinoma

Preoperative Biliary Drainage: Methods, Advantages, and Complications

Preoperative biliary drainage in hilar cholangiocarcinoma: when and how?

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