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Preoperative Biliary Drainage for the Lower Malignant Obstructive Jaundice

Phase 3
Conditions
Postoperative Complications
Interventions
Procedure: preoperative biliary drainage
Registration Number
NCT01744938
Lead Sponsor
Tianjin Medical University Cancer Institute and Hospital
Brief Summary

Patients with the lower malignant obstructive jaundice planned to do the pancreaticoduodenectomy, receiving preoperative biliary drainage or early surgery (without preoperative biliary drainage), both groups has the similar surgical morbidity, no statistics significance.

Detailed Description

Patients with the lower malignant obstructive jaundice divided into two groups:early surgery, preoperative biliary drainage + surgery.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
136
Inclusion Criteria
  • Patients with the lower malignant obstructive jaundice
  • Total bilirubin: 150-350 umol/L
Exclusion Criteria
  • age less than 18
  • emergency operation
  • biliary tract stent placed
  • past history of operation on pancreas
  • intraoperative unresectable tumor with pancreaticoduodenectomy
  • unresectable tumor or potential resectable tumor with pancreaticoduodenectomy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
preoperative biliary drainagepreoperative biliary drainagepercutaneous preoperative biliary drainage before pancreaticoduodenectomy guided by CT scan
Primary Outcome Measures
NameTimeMethod
the difference in postoperative morbidity12 weeks postoperation

the difference in postoperative morbidity between two groups (preoperative biliary drainage or early surgery (without preoperative biliary drainage))

Secondary Outcome Measures
NameTimeMethod
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