Preoperative drainage and complication prevention strategies for jaundice caused by extrahepatic cholangiocarcinoma_West China Medical Journal

Authors：

SHI Xuewei ^1,2 , ZHANG Liyong ¹ ,  XIA Yijun ²

1. Graduate School, Inner Mongolia Medical University, Hohhot, Inner Mongolia Autonomous Region 010010, P. R. China;
2. Department of Hepatobiliary Pancreatic Spleen Surgery, Inner Mongolia People’s Hospital, Hohhot, Inner Mongolilia Autonomous Region 010017, P. R. China;

Corresponding author：

XIA Yijun, Email: yijunxiam@sina.com

Keywords：

Cholangiocarcinoma; Preoperative jaundice reduction; Complications

DOI：

10.7507/1002-0179.202009284

Video：

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Partial or complete blockage of the bile outflow tract by extrahepatic cholangiocarcinoma often leads to jaundice, which not only causes skin itching in patients, but also destroys the body environment through a series of pathophysiological processes, reduces the surgical tolerance of patients with resectable tumors, and affects the prognosis. Preoperative jaundice reduction can reduce jaundice and relieve biliary obstruction, but the various complications that follow will also adversely affect the treatment. This article elaborates on the disadvantages of different methods for jaundice reduction, the indications for preoperative jaundice reduction, the jaundice reduction options for different types of extrahepatic cholangiocarcinoma, the complications and treatment methods of preoperative jaundice reduction for extrahepatic cholangiocarcinoma, aiming to provide a reference for clinicians, so that patients can better benefit from preoperative jaundice reduction.

Citation： SHI Xuewei, ZHANG Liyong, XIA Yijun. Preoperative drainage and complication prevention strategies for jaundice caused by extrahepatic cholangiocarcinoma. West China Medical Journal, 2021, 36(12): 1778-1782. doi: 10.7507/1002-0179.202009284 Copy

1.	Clements O, Eliahoo J, Kim JU, et al. Risk factors for intrahepatic and extrahepatic cholangiocarcinoma: a systematic review and meta-analysis. J Hepatol, 2020, 72(1): 95-103.
2.	Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of vater. Ann Surg, 1935, 102(4): 763-779.
3.	Shaib Y, Rahal MA, Rammal MO, et al. Preoperative biliary drainage for malignant biliary obstruction: results from a national database. J Hepatobiliary Pancreat Sci, 2017, 24(11): 637-642.
4.	李敏, 陶颖, 刘寒, 等. 梗阻性黄疸术前减黄的必要性和争议. 中华肝脏外科手术学电子杂志, 2018, 7(6): 447-449.
5.	殷晓煜. 肝门部胆管癌术前行胆道引流术减轻黄疸的争议与策略. 中华消化外科杂志, 2018, 17(3): 229-232.
6.	Ramanathan R, Borrebach J, Tohme S, et al. Preoperative biliary drainage is associated with increased complications after liver resection for proximal cholangiocarcinoma. J Gastrointest Surg, 2018, 22(11): 1950-1957.
7.	刘颖斌, 王许安. 胆道恶性肿瘤外科治疗的问题和对策. 中华消化外科杂志, 2019, 18(2): 117-122.
8.	Talukder S, Behera A, Tandup C, et al. Isolated implant metastasis in chest wall due to seeding of transpleurally placed PTBD catheter tract in a case of hilar cholangiocarcinoma. BMJ Case Rep, 2017, 2017: 219864.
9.	金超, 窦科峰. 肝门部胆管癌外科治疗的热点与难点. 国际外科学杂志, 2013, 40(5): 294-296.
10.	Dumonceau JM, Tringali A, Papanikolaou IS, et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline- updated october 2017. Endoscopy, 2018, 50(9): 910-930.
11.	De Simone W, Crafa F, Noviello A, et al. Bilirubin removal with coupled plasma filtration and adsorption in patients affected by hilar cholangiocarcinoma. G Ital Nefrol, 2017, 34: 2017.
12.	Tsuzuki T, Ogata Y, Iida S, et al. Carcinoma of the bifurcation of the hepatic ducts. Arch Surg, 1983, 118(10): 1147-1151.
13.	程石, 赵修浩. 肝门部胆管癌术前减黄临床意义. 腹部外科, 2019, 32(5): 319-323.
14.	田伏洲, 石力, 汤礼军, 等. 对恶性梗阻性黄疸术前减黄指标的再认识(附 28 例临床分析). 中国现代普通外科进展, 2010, 13(1): 1-4.
15.	Enomoto LM, Dixon MEB, Burdette A, et al. Biliary drainage before and after liver resection for perihilar cholangiocarcinoma. Am Surg, 2020, 86(6): 628-634.
16.	Cai Y, Tang Q, Xiong X, et al. Preoperative biliary drainage versus direct surgery for perihilar cholangiocarcinoma: a retrospective study at a single center. Biosci Trends, 2017, 11(3): 319-325.
17.	Hajibandeh S, Hajibandeh S, Satyadas T. Endoscopic versus percutaneous preoperative biliary drainage in patients with klatskin tumor undergoing curative surgery: a systematic review and meta-analysis of short-term and long-term outcomes. Surg Innov, 2020, 27(3): 279-290.
18.	Ba Y, Yue P, Leung JW, et al. Percutaneous transhepatic biliary drainage may be the preferred preoperative drainage method in hilar cholangiocarcinoma. Endosc Int Open, 2020, 8(2): E203-E210.
19.	Zhang W, Che X. Comparison of effect between nasobiliary drainage and biliary stenting in malignant biliary obstruction: a systematic review and updated meta-analysis. World J Surg Oncol, 2020, 18(1): 71.
20.	Nakai Y, Yamamoto R, Matsuyama M, et al. Multicenter study of endoscopic preoperative biliary drainage for malignant hilar biliary obstruction: E-POD hilar study. J Gastroenterol Hepatol, 2018, 33(5): 1146-1153.
21.	Miura F, Sano K, Wada K, et al. Prognostic impact of type of preoperative biliary drainage in patients with distal cholangiocarcinoma. Am J Surg, 2017, 214(2): 256-261.
22.	Fujii T, Yamada S, Suenaga M, et al. Preoperative internal biliary drainage increases the risk of bile juice infection and pancreatic fistula after pancreatoduodenectomy: a prospective observational study. Pancreas, 2015, 44(3): 465-470.
23.	Akita M, Ajiki T, Matsumoto T, et al. Preoperative cholangitis affects survival outcome in patients with extrahepatic bile duct cancer. J Gastrointest Surg, 2017, 21(6): 983-989.
24.	刘锐, 陈伟伟, 黄坤, 等. 谷氨酰胺强化肠外联合肠内营养对恶性梗阻性黄疸减黄术后患者免疫及肠屏障功能的影响. 中国现代医学杂志, 2019: 1-10.
25.	Al Mahjoub A, Menahem B, Fohlen A, et al. Preoperative biliary drainage in patients with resectable perihilar cholangiocarcinoma: is percutaneous transhepatic biliary drainage safer and more effective than endoscopic biliary drainage? A meta-analysis. J Vasc Interv Radiol, 2017, 28(4): 576-582.
26.	孙士全, 毛谅, 仇毓东. 梗阻性黄疸术前减黄指征. 肝胆外科杂志, 2018, 26(3): 167-171.
27.	Naranjo A, Cruz A, López P, et al. Renal function after dopamine and fluid administration in patients with malignant obstructive jaundice. A prospective randomized study. J Gastrointestin Liver Dis, 2011, 20(2): 161-167.
28.	Jayarajah U, Basnayake O, Wijerathne PK, et al. Acute kidney injury due to high-output external biliary drainage in a patient with malignant obstructive jaundice: a case report. J Med Case Rep, 2019, 13(1): 251.
29.	Takahashi Y, Nagino M, Nishio H, et al. Percutaneous transhepatic biliary drainage catheter tract recurrence in cholangiocarcinoma. Br J Surg, 2010, 97(12): 1860-1866.
30.	Sakata J, Shirai Y, Wakai T, et al. Catheter tract implantation metastases associated with percutaneous biliary drainage for extrahepatic cholangiocarcinoma. World J Gastroenterol, 2005, 11(44): 7024-7027.
31.	Wang L, Lin N, Xin F, et al. A systematic review of the comparison of the incidence of seeding metastasis between endoscopic biliary drainage and percutaneous transhepatic biliary drainage for resectable malignant biliary obstruction. World J Surg Oncol, 2019, 17(1): 116.
32.	Kawakubo K, Kawakami H, Kuwatani M, et al. Lower incidence of complications in endoscopic nasobiliary drainage for hilar cholangiocarcinoma. World J Gastrointest Endosc, 2016, 8(9): 385-390.
33.	Uesaka K, Kamiya J, Nagino M, et al. Treatment of recurrent cancer after surgery for biliary malignancies. Nihon Geka Gakkai Zasshi, 1999, 100(2): 195-199.
34.	Shimizu Y, Yasui K, Kato T, et al. Implantation metastasis along the percutaneous transhepatic biliary drainage sinus tract. Hepatogastroenterology, 2004, 51(56): 365-367.

1. Clements O, Eliahoo J, Kim JU, et al. Risk factors for intrahepatic and extrahepatic cholangiocarcinoma: a systematic review and meta-analysis. J Hepatol, 2020, 72(1): 95-103.
2. Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of vater. Ann Surg, 1935, 102(4): 763-779.
3. Shaib Y, Rahal MA, Rammal MO, et al. Preoperative biliary drainage for malignant biliary obstruction: results from a national database. J Hepatobiliary Pancreat Sci, 2017, 24(11): 637-642.
4. 李敏, 陶颖, 刘寒, 等. 梗阻性黄疸术前减黄的必要性和争议. 中华肝脏外科手术学电子杂志, 2018, 7(6): 447-449.
5. 殷晓煜. 肝门部胆管癌术前行胆道引流术减轻黄疸的争议与策略. 中华消化外科杂志, 2018, 17(3): 229-232.
6. Ramanathan R, Borrebach J, Tohme S, et al. Preoperative biliary drainage is associated with increased complications after liver resection for proximal cholangiocarcinoma. J Gastrointest Surg, 2018, 22(11): 1950-1957.
7. 刘颖斌, 王许安. 胆道恶性肿瘤外科治疗的问题和对策. 中华消化外科杂志, 2019, 18(2): 117-122.
8. Talukder S, Behera A, Tandup C, et al. Isolated implant metastasis in chest wall due to seeding of transpleurally placed PTBD catheter tract in a case of hilar cholangiocarcinoma. BMJ Case Rep, 2017, 2017: 219864.
9. 金超, 窦科峰. 肝门部胆管癌外科治疗的热点与难点. 国际外科学杂志, 2013, 40(5): 294-296.
10. Dumonceau JM, Tringali A, Papanikolaou IS, et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline- updated october 2017. Endoscopy, 2018, 50(9): 910-930.
11. De Simone W, Crafa F, Noviello A, et al. Bilirubin removal with coupled plasma filtration and adsorption in patients affected by hilar cholangiocarcinoma. G Ital Nefrol, 2017, 34: 2017.
12. Tsuzuki T, Ogata Y, Iida S, et al. Carcinoma of the bifurcation of the hepatic ducts. Arch Surg, 1983, 118(10): 1147-1151.
13. 程石, 赵修浩. 肝门部胆管癌术前减黄临床意义. 腹部外科, 2019, 32(5): 319-323.
14. 田伏洲, 石力, 汤礼军, 等. 对恶性梗阻性黄疸术前减黄指标的再认识(附 28 例临床分析). 中国现代普通外科进展, 2010, 13(1): 1-4.
15. Enomoto LM, Dixon MEB, Burdette A, et al. Biliary drainage before and after liver resection for perihilar cholangiocarcinoma. Am Surg, 2020, 86(6): 628-634.
16. Cai Y, Tang Q, Xiong X, et al. Preoperative biliary drainage versus direct surgery for perihilar cholangiocarcinoma: a retrospective study at a single center. Biosci Trends, 2017, 11(3): 319-325.
17. Hajibandeh S, Hajibandeh S, Satyadas T. Endoscopic versus percutaneous preoperative biliary drainage in patients with klatskin tumor undergoing curative surgery: a systematic review and meta-analysis of short-term and long-term outcomes. Surg Innov, 2020, 27(3): 279-290.
18. Ba Y, Yue P, Leung JW, et al. Percutaneous transhepatic biliary drainage may be the preferred preoperative drainage method in hilar cholangiocarcinoma. Endosc Int Open, 2020, 8(2): E203-E210.
19. Zhang W, Che X. Comparison of effect between nasobiliary drainage and biliary stenting in malignant biliary obstruction: a systematic review and updated meta-analysis. World J Surg Oncol, 2020, 18(1): 71.
20. Nakai Y, Yamamoto R, Matsuyama M, et al. Multicenter study of endoscopic preoperative biliary drainage for malignant hilar biliary obstruction: E-POD hilar study. J Gastroenterol Hepatol, 2018, 33(5): 1146-1153.
21. Miura F, Sano K, Wada K, et al. Prognostic impact of type of preoperative biliary drainage in patients with distal cholangiocarcinoma. Am J Surg, 2017, 214(2): 256-261.
22. Fujii T, Yamada S, Suenaga M, et al. Preoperative internal biliary drainage increases the risk of bile juice infection and pancreatic fistula after pancreatoduodenectomy: a prospective observational study. Pancreas, 2015, 44(3): 465-470.
23. Akita M, Ajiki T, Matsumoto T, et al. Preoperative cholangitis affects survival outcome in patients with extrahepatic bile duct cancer. J Gastrointest Surg, 2017, 21(6): 983-989.
24. 刘锐, 陈伟伟, 黄坤, 等. 谷氨酰胺强化肠外联合肠内营养对恶性梗阻性黄疸减黄术后患者免疫及肠屏障功能的影响. 中国现代医学杂志, 2019: 1-10.
25. Al Mahjoub A, Menahem B, Fohlen A, et al. Preoperative biliary drainage in patients with resectable perihilar cholangiocarcinoma: is percutaneous transhepatic biliary drainage safer and more effective than endoscopic biliary drainage? A meta-analysis. J Vasc Interv Radiol, 2017, 28(4): 576-582.
26. 孙士全, 毛谅, 仇毓东. 梗阻性黄疸术前减黄指征. 肝胆外科杂志, 2018, 26(3): 167-171.
27. Naranjo A, Cruz A, López P, et al. Renal function after dopamine and fluid administration in patients with malignant obstructive jaundice. A prospective randomized study. J Gastrointestin Liver Dis, 2011, 20(2): 161-167.
28. Jayarajah U, Basnayake O, Wijerathne PK, et al. Acute kidney injury due to high-output external biliary drainage in a patient with malignant obstructive jaundice: a case report. J Med Case Rep, 2019, 13(1): 251.
29. Takahashi Y, Nagino M, Nishio H, et al. Percutaneous transhepatic biliary drainage catheter tract recurrence in cholangiocarcinoma. Br J Surg, 2010, 97(12): 1860-1866.
30. Sakata J, Shirai Y, Wakai T, et al. Catheter tract implantation metastases associated with percutaneous biliary drainage for extrahepatic cholangiocarcinoma. World J Gastroenterol, 2005, 11(44): 7024-7027.
31. Wang L, Lin N, Xin F, et al. A systematic review of the comparison of the incidence of seeding metastasis between endoscopic biliary drainage and percutaneous transhepatic biliary drainage for resectable malignant biliary obstruction. World J Surg Oncol, 2019, 17(1): 116.
32. Kawakubo K, Kawakami H, Kuwatani M, et al. Lower incidence of complications in endoscopic nasobiliary drainage for hilar cholangiocarcinoma. World J Gastrointest Endosc, 2016, 8(9): 385-390.
33. Uesaka K, Kamiya J, Nagino M, et al. Treatment of recurrent cancer after surgery for biliary malignancies. Nihon Geka Gakkai Zasshi, 1999, 100(2): 195-199.
34. Shimizu Y, Yasui K, Kato T, et al. Implantation metastasis along the percutaneous transhepatic biliary drainage sinus tract. Hepatogastroenterology, 2004, 51(56): 365-367.

West China Medical Journal

Preoperative drainage and complication prevention strategies for jaundice caused by extrahepatic cholangiocarcinoma

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