Comparison of ERBD and PTBD in Preoperative Yellow Reduction of Hilar Cholangiocarcinoma
Objective:To explore the porta hepatis bile duct carcinoma obstructive jaundice yellow preoperative reduction using en-doscopic retrograde biliary drainage(ERBD),liver puncture percutaneous biliary drainage(PTBD)effect.Methods:A total of 158 patients with low malignant obstructive jaundice diagnosed with hilar cholangiocarcinoma and accompanied by preoperative deconyelination were collected from Shanghai Xuhui District Central Hospital from January 2021 to December 2023.They were divided into two groups according to different preoperative deconyelination programs,namely ERBD group,78 patients received endoscopic retrograde biliary drainage.PTBD group,80 patients,received percutaneous transhepatic biliary drainage.Compare two groups of operation success rate;Compare two groups of curative effect of efficient(drainage rate);Comparing preoperative postoperative serological index[glutamine transferase(GGT),alanine aminotransferase(ALT),alkaline phosphatase(ALP),aspartate amin-otransferase(AST)]level;Postoperative complications were compared.Results:There was no significant difference between ERBD group and PTBD group in surgical success rate,effective rate(successful rate of drainage)and total incidence of postoperative complications(P＞0.05).The levels of serum GGT,ALT,ALP and AST in both groups were decreased after operation compared with those before operation(P＜0.05).However,there were no significant differences in serum GGT,ALT,ALP and AST levels between the two groups(P＞0.05).The incidence of postoperative pain in ERBD group was lower than that in PTBD group,and the incidence of postoperative biliary tract infection was higher than that in PTBD group(P＜0.05).Conclusion:In patients with obstructive jaundice of hilar cholangiocarcinoma,there is no difference in the success rate and yellowed effect of preoperative ERBD and PTBD treatment,but postoperative biliary tract infection and pain have their own advantages.The most appropriate biliary drainage technique can be selected according to the specific conditions of patients and the anatomical structure of biliary tract.
万方数据
维普
