Verification of the oncologic inferiority of percutaneous biliary drainage to endoscopic drainage: A propensity score matching analysis of resectable perihilar cholangiocarcinoma

Komaya, Kenichi; Ebata, Tomoki; Yokoyama, Yukihiro; Igami, Tsuyoshi; Sugawara, Gen; Mizuno, Takashi; Yamaguchi, Junpei; Nagino, Masato

doi:10.1016/j.surg.2016.08.008

Cited by 85 publications

(76 citation statements)

References 31 publications

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“…The prognostic factors identified here provide some clues for further improvement of long‐term survival. PTBD was identified as an independent negative predictor of survival, consistent with previous observations. Therefore, endoscopic biliary drainage is recommended to prevent PTBD‐associated seeding metastasis after surgery.…”

Section: Discussionsupporting

confidence: 88%

Surgical resection for Bismuth type IV perihilar cholangiocarcinoma

Ebata

Mizuno

Yokoyama

et al. 2017

British Journal of Surgery

102

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Section: Discussionsupporting

confidence: 88%

Surgical resection for Bismuth type IV perihilar cholangiocarcinoma

Ebata

Mizuno

Yokoyama

et al. 2017

British Journal of Surgery

102

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“…PVT of FRL is unwanted and can preclude the patient from surgery. Some authors have reported that PTBD worsens postoperative survival in PHC .…”

Section: Resultsmentioning

confidence: 99%

“…As per Japanese guidelines , EBD is recommended as the most appropriate procedure in PHC patients. EBD might result in improved prognosis over PTBD due to the prevention of peritoneal seeding as there is no spillage of bile . We now discuss the pros and cons of each procedure in detail.…”

Section: Resultsmentioning

confidence: 99%

“…Other complications include perforation (up to 1.7%) and additional PTBD may be required in 10% to 12.8% of cases. Effective unilateral ENBD can be achieved in 59.1% to 95% of cases .…”

Section: Resultsmentioning

confidence: 99%

“…Post‐ERCP pancreatitis can cause abandonment of curative resection in severe cases. When patients develop a fever after EBS placement, differential diagnosis of whether it is due to cholangitis in the drained area or the undrained area is difficult as bile color or output cannot be checked .…”

Section: Resultsmentioning

confidence: 99%

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Survey of preoperative management protocol for perihilar cholangiocarcinoma at 10 Japanese high‐volume centers with a combined experience of 2,778 cases

Chaudhary

Higuchi

Nagino

et al. 2019

J Hepato Biliary Pancreat

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Background In Japan, strategies for preoperative management of perihilar cholangiocarcinoma (PHC) have evolved over the last decade; the operative mortality has significantly reduced to <5%. Methods A questionnaire was sent to 10 institutions based on their case volume. Questionnaire was based on: (1) preoperative biliary drainage, (2) bile replacement, (3) role of synbiotics, (4) remnant liver volume enhancement, (5) predicted remnant liver function, (6) imaging, (7) nutrition, and (8) role of Inchinkoto. Results The median case volume was 226 (range 105-889) cases, respectively. Eight institutions preferred endoscopic nasobiliary drainage and two preferred endoscopic biliary stenting for biliary drainage. Nine used bile replacement within 2-3 days of biliary drainage. Four used synbiotics preoperatively. The median cutoff value for future remnant liver volume and serum total bilirubin, at which portal vein embolization (PVE) is done, is <40% and <4 mg/dl. The median interval between PVE and surgery was 3-4 weeks. To predict remnant liver function, indocyanine green retention (n = 8) and clearance rate (n = 2) were mainly used. Five used Inchinkoto to improve liver function. Nine used multidetector computed tomography and direct cholangiography for surgical planning. Conclusion With appropriate preoperative management of PHC, surgical morbidity and mortality can be reduced. This survey can provide recommendations to improve PHC perioperative outcomes.

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Surgical management of hilar cholangiocarcinoma at Memorial Sloan Kettering Cancer Center

Lidsky

Jarnagin

2018

Annals of Gastroent Surgery

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Hilar cholangiocarcinoma, which represents approximately 60% of biliary tract malignancies, is increasing in incidence and presents an ongoing challenge for patients and hepatobiliary surgeons. Although the majority of patients present with advanced disease, the remaining minority of patients are best treated with surgical resection or transplant. Transplant is typically reserved for locally unresectable tumors often in the setting of underlying hepatic dysfunction and will not be discussed herein. This review, therefore, focuses on oncological resection and the strategies implemented for the treatment of hilar cholangiocarcinoma at a quaternary referral center, including preoperative considerations such as patient selection and optimization of the future liver remnant, nuances to the operative approach for these tumors such as resection under low central venous pressure and management of the bile duct, as well as postoperative management.

show abstract

Verification of the oncologic inferiority of percutaneous biliary drainage to endoscopic drainage: A propensity score matching analysis of resectable perihilar cholangiocarcinoma

Cited by 85 publications

References 31 publications

Surgical resection for Bismuth type IV perihilar cholangiocarcinoma

Surgical resection for Bismuth type IV perihilar cholangiocarcinoma

Survey of preoperative management protocol for perihilar cholangiocarcinoma at 10 Japanese high‐volume centers with a combined experience of 2,778 cases

Surgical management of hilar cholangiocarcinoma at Memorial Sloan Kettering Cancer Center

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