Impact of biliary stenting on surgical outcome in patients undergoing pancreatectomy. A retrospective study in a single institution
Purpose There are conflicting views regarding preoperative biliary drainage in patients undergoing pancreatectomy. The aim of this study was to evaluate the effect of jaundice resolution on postoperative outcomes. Methods Patients who underwent pancreatectomy in a single institution since 2010 were...
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| Veröffentlicht in: | Langenbeck's archives of surgery 2016-02, Vol.401 (1), p.55-61 |
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| creator | Agalianos, Christos Paraskeva, Konstantina Gouvas, Nikolaos Davides, Demetrios Dervenis, Christos |
| description | Purpose
There are conflicting views regarding preoperative biliary drainage in patients undergoing pancreatectomy. The aim of this study was to evaluate the effect of jaundice resolution on postoperative outcomes.
Methods
Patients who underwent pancreatectomy in a single institution since 2010 were retrospectively analyzed. They were divided into two groups, depending on the presence or not of preoperative biliary drainage. Postoperative morbidity and mortality were evaluated.
Results
Ninety-nine patients underwent biliary drainage by endoscopic retrograde cholangiopancreatography (ERCP) (PBD group), while 105 patients had no biliary drainage (non-PBD group). No significant difference between the two groups could be identified in terms of overall complications (
p
= 0.121) or mortality (
p
= 1). There was no significant difference regarding pancreatic fistula (
p
= 0.554), delayed gastric emptying (
p
= 0.127), hemorrhage (
p
= 0.426), number of reoperations (
p
= 1.000) or readmissions (
p
= 1.000). The only significant difference was found in the hospital stay, where patients who underwent preoperative biliary drainage had a prolonged length of stay of more 3 days (15.52 vs. 11.31) (
p
|
| doi_str_mv | 10.1007/s00423-015-1360-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1770219877</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1770219877</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-17229f1678a9e53218b15888b4d4ef617af054cd8cc1ae21f6263fcfb603e0a03</originalsourceid><addsrcrecordid>eNp9kLtuFTEURS0EIg_4ABrkkmaC355bRhGPSJHSQG15PMdXjmbswQ-kW_PjeHRDSqpjHa-9pbMQ-kDJDSVEfy6ECMYHQuVAuSKDfIUuqeByYELS1y9vwS_QVSlPhBClD-ItumBKai0UvUR_7tfNuoqTx1NYgs0nXCrEGuIRp4hLy8fg7IJTqy6tgEPEm62hEwW3OEM-ph3dbHQZbAVX03q6wbc4Q82pbH0RfkPvbPNpD1tcOr_sRaWG2mpI8R164-1S4P3zvEY_v375cfd9eHj8dn93-zA4LkQdqGbs4KnSoz2A5IyOE5XjOE5iFuAV1dYTKdw8OkctMOoVU9w7PynCgVjCr9Gnc--W068GpZo1FAfLYiOkVgzVmjB6GLXuKD2jrh9RMniz5bB2O4YSs7s3Z_emuze7eyN75uNzfZtWmF8S_2R3gJ2B0r_iEbJ5Si3HfvJ_Wv8CqHyRrg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1770219877</pqid></control><display><type>article</type><title>Impact of biliary stenting on surgical outcome in patients undergoing pancreatectomy. A retrospective study in a single institution</title><source>MEDLINE</source><source>Springer Nature</source><creator>Agalianos, Christos ; Paraskeva, Konstantina ; Gouvas, Nikolaos ; Davides, Demetrios ; Dervenis, Christos</creator><creatorcontrib>Agalianos, Christos ; Paraskeva, Konstantina ; Gouvas, Nikolaos ; Davides, Demetrios ; Dervenis, Christos</creatorcontrib><description>Purpose
There are conflicting views regarding preoperative biliary drainage in patients undergoing pancreatectomy. The aim of this study was to evaluate the effect of jaundice resolution on postoperative outcomes.
Methods
Patients who underwent pancreatectomy in a single institution since 2010 were retrospectively analyzed. They were divided into two groups, depending on the presence or not of preoperative biliary drainage. Postoperative morbidity and mortality were evaluated.
Results
Ninety-nine patients underwent biliary drainage by endoscopic retrograde cholangiopancreatography (ERCP) (PBD group), while 105 patients had no biliary drainage (non-PBD group). No significant difference between the two groups could be identified in terms of overall complications (
p
= 0.121) or mortality (
p
= 1). There was no significant difference regarding pancreatic fistula (
p
= 0.554), delayed gastric emptying (
p
= 0.127), hemorrhage (
p
= 0.426), number of reoperations (
p
= 1.000) or readmissions (
p
= 1.000). The only significant difference was found in the hospital stay, where patients who underwent preoperative biliary drainage had a prolonged length of stay of more 3 days (15.52 vs. 11.31) (
p
< 0.001).
Conclusion
Preoperative biliary drainage in patients undergoing pancreatectomy does not increase the rates of postoperative morbidity or mortality, but has a negative effect on hospital stay.</description><identifier>ISSN: 1435-2443</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-015-1360-5</identifier><identifier>PMID: 26577461</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdominal Surgery ; Aged ; Cardiac Surgery ; Cholangiopancreatography, Endoscopic Retrograde ; Drainage ; Female ; General Surgery ; Humans ; Length of Stay ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pancreatectomy ; Pancreatic Diseases - etiology ; Pancreatic Diseases - pathology ; Pancreatic Diseases - surgery ; Preoperative Care ; Retrospective Studies ; Stents ; Thoracic Surgery ; Traumatic Surgery ; Treatment Outcome ; Vascular Surgery</subject><ispartof>Langenbeck's archives of surgery, 2016-02, Vol.401 (1), p.55-61</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-17229f1678a9e53218b15888b4d4ef617af054cd8cc1ae21f6263fcfb603e0a03</citedby><cites>FETCH-LOGICAL-c344t-17229f1678a9e53218b15888b4d4ef617af054cd8cc1ae21f6263fcfb603e0a03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00423-015-1360-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00423-015-1360-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27933,27934,41497,42566,51328</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26577461$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Agalianos, Christos</creatorcontrib><creatorcontrib>Paraskeva, Konstantina</creatorcontrib><creatorcontrib>Gouvas, Nikolaos</creatorcontrib><creatorcontrib>Davides, Demetrios</creatorcontrib><creatorcontrib>Dervenis, Christos</creatorcontrib><title>Impact of biliary stenting on surgical outcome in patients undergoing pancreatectomy. A retrospective study in a single institution</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><description>Purpose
There are conflicting views regarding preoperative biliary drainage in patients undergoing pancreatectomy. The aim of this study was to evaluate the effect of jaundice resolution on postoperative outcomes.
Methods
Patients who underwent pancreatectomy in a single institution since 2010 were retrospectively analyzed. They were divided into two groups, depending on the presence or not of preoperative biliary drainage. Postoperative morbidity and mortality were evaluated.
Results
Ninety-nine patients underwent biliary drainage by endoscopic retrograde cholangiopancreatography (ERCP) (PBD group), while 105 patients had no biliary drainage (non-PBD group). No significant difference between the two groups could be identified in terms of overall complications (
p
= 0.121) or mortality (
p
= 1). There was no significant difference regarding pancreatic fistula (
p
= 0.554), delayed gastric emptying (
p
= 0.127), hemorrhage (
p
= 0.426), number of reoperations (
p
= 1.000) or readmissions (
p
= 1.000). The only significant difference was found in the hospital stay, where patients who underwent preoperative biliary drainage had a prolonged length of stay of more 3 days (15.52 vs. 11.31) (
p
< 0.001).
Conclusion
Preoperative biliary drainage in patients undergoing pancreatectomy does not increase the rates of postoperative morbidity or mortality, but has a negative effect on hospital stay.</description><subject>Abdominal Surgery</subject><subject>Aged</subject><subject>Cardiac Surgery</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Drainage</subject><subject>Female</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pancreatectomy</subject><subject>Pancreatic Diseases - etiology</subject><subject>Pancreatic Diseases - pathology</subject><subject>Pancreatic Diseases - surgery</subject><subject>Preoperative Care</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>1435-2443</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kLtuFTEURS0EIg_4ABrkkmaC355bRhGPSJHSQG15PMdXjmbswQ-kW_PjeHRDSqpjHa-9pbMQ-kDJDSVEfy6ECMYHQuVAuSKDfIUuqeByYELS1y9vwS_QVSlPhBClD-ItumBKai0UvUR_7tfNuoqTx1NYgs0nXCrEGuIRp4hLy8fg7IJTqy6tgEPEm62hEwW3OEM-ph3dbHQZbAVX03q6wbc4Q82pbH0RfkPvbPNpD1tcOr_sRaWG2mpI8R164-1S4P3zvEY_v375cfd9eHj8dn93-zA4LkQdqGbs4KnSoz2A5IyOE5XjOE5iFuAV1dYTKdw8OkctMOoVU9w7PynCgVjCr9Gnc--W068GpZo1FAfLYiOkVgzVmjB6GLXuKD2jrh9RMniz5bB2O4YSs7s3Z_emuze7eyN75uNzfZtWmF8S_2R3gJ2B0r_iEbJ5Si3HfvJ_Wv8CqHyRrg</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Agalianos, Christos</creator><creator>Paraskeva, Konstantina</creator><creator>Gouvas, Nikolaos</creator><creator>Davides, Demetrios</creator><creator>Dervenis, Christos</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160201</creationdate><title>Impact of biliary stenting on surgical outcome in patients undergoing pancreatectomy. A retrospective study in a single institution</title><author>Agalianos, Christos ; Paraskeva, Konstantina ; Gouvas, Nikolaos ; Davides, Demetrios ; Dervenis, Christos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-17229f1678a9e53218b15888b4d4ef617af054cd8cc1ae21f6263fcfb603e0a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdominal Surgery</topic><topic>Aged</topic><topic>Cardiac Surgery</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Drainage</topic><topic>Female</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pancreatectomy</topic><topic>Pancreatic Diseases - etiology</topic><topic>Pancreatic Diseases - pathology</topic><topic>Pancreatic Diseases - surgery</topic><topic>Preoperative Care</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Agalianos, Christos</creatorcontrib><creatorcontrib>Paraskeva, Konstantina</creatorcontrib><creatorcontrib>Gouvas, Nikolaos</creatorcontrib><creatorcontrib>Davides, Demetrios</creatorcontrib><creatorcontrib>Dervenis, Christos</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Agalianos, Christos</au><au>Paraskeva, Konstantina</au><au>Gouvas, Nikolaos</au><au>Davides, Demetrios</au><au>Dervenis, Christos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of biliary stenting on surgical outcome in patients undergoing pancreatectomy. A retrospective study in a single institution</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>401</volume><issue>1</issue><spage>55</spage><epage>61</epage><pages>55-61</pages><issn>1435-2443</issn><eissn>1435-2451</eissn><abstract>Purpose
There are conflicting views regarding preoperative biliary drainage in patients undergoing pancreatectomy. The aim of this study was to evaluate the effect of jaundice resolution on postoperative outcomes.
Methods
Patients who underwent pancreatectomy in a single institution since 2010 were retrospectively analyzed. They were divided into two groups, depending on the presence or not of preoperative biliary drainage. Postoperative morbidity and mortality were evaluated.
Results
Ninety-nine patients underwent biliary drainage by endoscopic retrograde cholangiopancreatography (ERCP) (PBD group), while 105 patients had no biliary drainage (non-PBD group). No significant difference between the two groups could be identified in terms of overall complications (
p
= 0.121) or mortality (
p
= 1). There was no significant difference regarding pancreatic fistula (
p
= 0.554), delayed gastric emptying (
p
= 0.127), hemorrhage (
p
= 0.426), number of reoperations (
p
= 1.000) or readmissions (
p
= 1.000). The only significant difference was found in the hospital stay, where patients who underwent preoperative biliary drainage had a prolonged length of stay of more 3 days (15.52 vs. 11.31) (
p
< 0.001).
Conclusion
Preoperative biliary drainage in patients undergoing pancreatectomy does not increase the rates of postoperative morbidity or mortality, but has a negative effect on hospital stay.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26577461</pmid><doi>10.1007/s00423-015-1360-5</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1435-2443 |
| ispartof | Langenbeck's archives of surgery, 2016-02, Vol.401 (1), p.55-61 |
| issn | 1435-2443 1435-2451 |
| language | eng |
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| source | MEDLINE; Springer Nature |
| subjects | Abdominal Surgery Aged Cardiac Surgery Cholangiopancreatography, Endoscopic Retrograde Drainage Female General Surgery Humans Length of Stay Male Medicine Medicine & Public Health Middle Aged Original Article Pancreatectomy Pancreatic Diseases - etiology Pancreatic Diseases - pathology Pancreatic Diseases - surgery Preoperative Care Retrospective Studies Stents Thoracic Surgery Traumatic Surgery Treatment Outcome Vascular Surgery |
| title | Impact of biliary stenting on surgical outcome in patients undergoing pancreatectomy. A retrospective study in a single institution |
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