Preoperative Biliary Drainage for the Lower Malignant Obstructive Jaundice
- Conditions
- Postoperative Complications
- Interventions
- Procedure: preoperative biliary drainage
- Registration Number
- NCT01744938
- 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
- Patients with the lower malignant obstructive jaundice
- Total bilirubin: 150-350 umol/L
- 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
Group Intervention Description preoperative biliary drainage preoperative biliary drainage percutaneous preoperative biliary drainage before pancreaticoduodenectomy guided by CT scan
- Primary Outcome Measures
Name Time Method the difference in postoperative morbidity 12 weeks postoperation the difference in postoperative morbidity between two groups (preoperative biliary drainage or early surgery (without preoperative biliary drainage))
- Secondary Outcome Measures
Name Time Method