Upfront pancreaticoduodenectomy in severely jaundiced patients: is it safe?

• Published in: Journal of hepato-biliary-pancreatic sciences Vol. 26; no. 11; pp. 524 - 533
• Main Authors: Pamecha, Viniyendra, Sadashiv Patil, Nilesh, Kumar, Senthil, Rajendran, Vivek, Gupta, Sahil, Vasantrao Sasturkar, Shridhar, Kumar Sinha, Piyush, Arora, Asit, Agarwal, Nikhil, Baghmar, Saphalta
• Format: Journal Article
• Language: English
• Published: Japan Wiley Subscription Services, Inc 01.11.2019
• Subjects: Adult; Aged; Bile Duct Neoplasms - blood; Bile Duct Neoplasms - complications; Bile Duct Neoplasms - surgery; Bile Ducts - surgery; Biliary drainage; Bilirubin - blood; Common Bile Duct - pathology; Common Bile Duct - surgery; Drainage; Female; Hospital Mortality; Humans; Jaundice, Obstructive - blood; Jaundice, Obstructive - etiology; Jaundice, Obstructive - surgery; Length of Stay; Male; Middle Aged; Morbidity; Pancreaticoduodenectomy; Pancreaticoduodenectomy - mortality; Preoperative Care; Retrospective Studies; Treatment Outcome; Young Adult; Biliary drainage; Morbidity; Pancreaticoduodenectomy
• ISSN: 1868-6974; 1868-6982; 1868-6982
• DOI: 10.1002/jhbp.671

Aim The aim of this study was to evaluate the outcomes following upfront pancreaticoduodenectomy (PD) in severely jaundiced (serum bilirubin level ≥15 mg/dl) patients with malignant distal common bile duct (CBD) obstruction. Background Recent studies have failed to show the benefits of preoperative...