Comparison of plastic stent versus metal stent in preoperative biliary drainage for pancreatic head cancer with neoadjuvant chemoradiotherapy
| Autor: | Hiroki Yamana, Keiichi Okano, Naoki Fujita, Daisuke Namima, Hideki Kamada, Kiyoyuki Kobayashi, Tsutomu Masaki, Toshiaki Kohno, Hideki Kobara, Shintaro Fujihara |
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| Rok vydání: | 2021 |
| Předmět: |
Chemotherapy
Biliary drainage medicine.medical_specialty Hepatology business.industry medicine.medical_treatment Stent Perioperative Neoadjuvant Therapy Surgery Pancreatic Neoplasms Treatment Outcome medicine Drainage Humans Stents Obstructive jaundice business Plastics Neoadjuvant therapy Chemoradiotherapy Pancreatic head cancer Retrospective Studies |
| Zdroj: | Journal of Hepato-Biliary-Pancreatic Sciences. 28:856-863 |
| ISSN: | 1868-6982 1868-6974 |
| DOI: | 10.1002/jhbp.929 |
| Popis: | BACKGROUND While neoadjuvant chemotherapy and chemoradiotherapy (NACRT) for pancreatic head cancer are effective, preoperative endoscopic biliary drainage (EBD) is necessary for managing obstructive jaundice and cholangitis during the preoperative waiting period. Nevertheless, ideal choice of stent type is unclear. We compared plastic stents (PS) and metal stents (MS) in these situations. METHODS We retrospectively studied 43 patients who successfully underwent preoperative EBD prior to NACRT for pancreatic head cancer at a single institution. We divided patients into PS (n = 22) and MS (n = 21) groups. The primary outcome was the rate of re-interventional drainage rate before surgery. Secondary outcomes were rates of EBD-associated and postoperative complications and total costs in the pre- and perioperative periods. RESULTS The re-intervention rate was significantly greater in the PS group than in the MS group (95% vs 4.8%, respectively, P |
| Databáze: | OpenAIRE |
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