Prognostic impact of type of preoperative biliary drainage in patients with distal cholangiocarcinoma

Miura, Fumihiko; Sano, Keiji; Wada, Keita; Shibuya, Makoto; Ikeda, Yutaka; Takahashi, Kyoko; Kainuma, Masahiko; Kawamura, Sachiyo; Hayano, Koichi; Takada, Tadahiro

doi:10.1016/j.amjsurg.2017.01.010

Cited by 35 publications

(36 citation statements)

References 29 publications

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“…In a multicenter study, PTBD was an independent prognostic factor for poor survival outcome in pancreatic ductal adenocarcinoma. Furthermore, in a single center study comparing PTBD and EBD in distal CBD cancer, PTBD had poorer overall survival with increased liver metastasis . However, there are some limitations to these studies.…”

Section: Discussionmentioning

confidence: 99%

Preoperative biliary drainage adversely affects surgical outcomes in periampullary cancer: a retrospective and propensity score‐matched analysis

Lee

Han

Kim

et al. 2018

J Hepato Biliary Pancreat

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Section: Discussionmentioning

confidence: 99%

Preoperative biliary drainage adversely affects surgical outcomes in periampullary cancer: a retrospective and propensity score‐matched analysis

Lee

Han

Kim

et al. 2018

J Hepato Biliary Pancreat

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“…Additional 28 records were identified from conference proceedings and trial registries, with a total of 1234 search results. After adjusting for duplicates and excluding 1218 records as nonpertinent reports (meta-analyses, single-arm retrospective studies, case reports, systematic reviews, narrative reviews), the reports were restricted to 17 after independent evaluation by 2 authors (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33). Figure 1 shows the search process.…”

Section: Resultsmentioning

confidence: 99%

How to Choose Between Percutaneous Transhepatic and Endoscopic Biliary Drainage in Malignant Obstructive Jaundice: An Updated Systematic Review and Meta-analysis

Rizzo

Ricci

Frega

et al. 2020

In Vivo

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Background/Aim: Malignant obstructive jaundice (MOJ) is a common condition caused by several primary and secondary cancers. We performed a systematic review and meta-analysis to investigate technical success rate and safety of percutaneous transhepatic biliary drainage (PTBD) versus endoscopic biliary drainage (EBD) in MOJ. Materials and Methods: Relevant trials were identified by searching electronic databases and conference meetings. We included thirteen retrospective studies and four randomized controlled trials, with PTBD performed in 2353 patients and EBD in 8178 patients. Outcomes of interest included: technical success rate, overall complications, 30-day mortality rate and risk of bleeding, pancreatitis, cholangitis and tube dislocation. Results: The differences in technical success rate, total complications, 30-day mortality rate and tube dislocation were not statistically significant between the two groups. Patients receiving PTBD showed a lower risk of pancreatitis (OR=0.14, 95%CI=0.06-0.31) and cholangitis (OR=0.52, 95%CI=0.30-0.90) when compared to EBD while PTBD was associated with higher risk of bleeding (OR=1.78; 95%CI=1.32-2.39). Conclusion: Our meta-analysis indicates the presence of some advantages and limits for both PTBD and EBD. We highlight the paucity of quality-of-life data, a vital element which should be carefully pondered in future studies and in choosing the optimal technique in patients with MOJ.

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“…Miura et al . found that preoperative PTBD increased the incidence of liver recurrence in patients with DCC who underwent PD . They speculated that direct implantation to the liver and the effect of portal vein embolization by the catheter in PTBD may lead to an increase of liver metastasis.…”

Section: Discussionmentioning

confidence: 99%

“…Distal cholangiocarcinoma (DCC) is a relatively uncommon abdominal neoplasm. 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 .…”

Section: Introductionmentioning

confidence: 99%

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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Prognostic impact of type of preoperative biliary drainage in patients with distal cholangiocarcinoma

Cited by 35 publications

References 29 publications

Preoperative biliary drainage adversely affects surgical outcomes in periampullary cancer: a retrospective and propensity score‐matched analysis

Preoperative biliary drainage adversely affects surgical outcomes in periampullary cancer: a retrospective and propensity score‐matched analysis

How to Choose Between Percutaneous Transhepatic and Endoscopic Biliary Drainage in Malignant Obstructive Jaundice: An Updated Systematic Review and Meta-analysis

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

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