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- W2368454907 abstract "Objective To explore the influence of preoperative biliary drainage on periampullary carcinoma in senile patients more than 70 years with severe jaundice undergoing pancreaticoduodenectomy(PD).Methods The clinical data of 6 patients received biliary drainage(include successfully and unsuccessfully) before PD were analysed retrospectively.Results Of the 6 patients,1 patient was failure in preoperative biliary drainage,another performed preoperative biliary drainage by percutaneous transhepatic cholangiographic drainage(PTCD) only 1 day before PD,and the above-mentioned 2 patients died of multiple organ failure(MOF) resulting from liver failure shortly after PD;the rest 4 patients performed preoperative biliary drainage and insertion of biliary metallic stents successfully more than 10 days before PD,followed by marked descent of serum bilirubin and transaminase,and gained sucessful PD and postoperative recovery because of obvious preoperative improvement of liver function,and finally obtained comparatively satisfactory life span with regular postoperative adjuvant chemotherapy.Of the 6 patients,2 remain healthy survival now.Conclusion For the senile patients with malignant obstructive jaundice in the low bile duct,accompanying severe jaundice and obvious liver function damage,preoperative biliary drainage should be performed by PTCD and biliary tract stent in order to palliate severe jaundice,and until obvious improvement of liver function PD cannot be carried out.In this way,operative achievement ratio of PD can be raised,life quality of the patients can be improved,the patients′ life span will also be desirably prolonged." @default.
- W2368454907 created "2016-06-24" @default.
- W2368454907 creator A5058918418 @default.
- W2368454907 date "2010-01-01" @default.
- W2368454907 modified "2023-09-26" @default.
- W2368454907 title "Influence of preoperative biliary drainage on the treatment effectiveness of pancreaticoduodenectomy in senile patients more than seventy years with malignant obstructive jaundice in the low bile duct" @default.
- W2368454907 hasPublicationYear "2010" @default.
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