Current situation and progress for preoperative biliary drainage in patients with malignant biliary obstruction diseases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YUE Ping ^1,2,3,4 , ZHANG Jinduo ² , BA Yongjiang ² , BAI Bing ^1,2,3,4 , LIN Yanyan ^1,2,3,4 , MENG Wenbo ^1,2,3,4 ,  LI Xun ^3,4,5

1. Department of Special Minimally Invasive Surgery, The First Hospital of Lanzhou University, Lanzhou 730000, P.R.China;
2. The First Clinical Medical College of Lanzhou University, Lanzhou 730000, P.R.China;
3. Hepatopancreatobiliary Surgery Institute of Gansu Province, Lanzhou 730000, P.R.China;
4. Key Laboratory of Biological Therapy and Regenerative Medicine Transformation of Gansu Province, Lanzhou 730022, P.R.China;
5. The Second Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou 730000, P.R.China;

Corresponding author：

LI Xun, Email: lxdr21@126.com

Keywords：

malignant biliary obstruction; preoperative biliary drainage; indication of biliary drainage

DOI：

10.7507/1007-9424.201609012

Video：

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Objective To introduce summarily and discuss current controversial problems in terms of necessity and methods of preoperative biliary drainage for patients with malignant biliary obstruction diseases. Method The relevant domestic and international literatures in recent years were reviewed and summarized, and the basis, pros and cons, selectable ways, and current controversy of preoperative biliary drainage were analyzed. Results With development of the research, the view of preoperative biliary drainage also has been changed continuously. At the present time, the main arguments focus on the necessity, timing, biliary decompression way of preoperative biliary drainage and corresponding surgical opportunity after biliary drainage. Incorrect patient selection and undue pursuit of preoperative biliary drainage would be completely opposite to the treatment of malignant biliary obstruction. Conclusions It is generally recommended that preoperative biliary drainage in patients with malignant biliary obstruction diseases is not needed and surgery is performed directly. For patients who have indications of preoperative biliary drainage, it could make patients spend perioperative period smoothly if a reasonable way of biliary decompression is chosen. However, it is necessary to take some large sample retrospective analyses or prospective studies for exploring existing problems of preoperative biliary drainage in future.

Citation： YUE Ping, ZHANG Jinduo, BA Yongjiang, BAI Bing, LIN Yanyan, MENG Wenbo, LI Xun. Current situation and progress for preoperative biliary drainage in patients with malignant biliary obstruction diseases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(5): 644-648. doi: 10.7507/1007-9424.201609012 Copy

1.	Umeda J, Itoi T. Current status of preoperative biliary drainage. J Gastroenterol, 2015, 50(9): 940-954.
2.	Boulay BR, Birg A. Malignant biliary obstruction: From palliation to treatment. World J Gastrointest Oncol, 2016, 8(6): 498-508.
3.	张楠. 术前减黄对恶性梗阻性黄疸患者免疫功能的影响. 医药论坛杂志, 2011, 32(3): 146-147.
4.	Takada T, Hanyu F, Kobayashi S,et al. Percutaneous transhepatic cholangial drainage: direct approach under fluoroscopic control. J Surg Oncol, 1976, 8(1): 83-97.
5.	Dixon JM, Armstrong CP, Davies GC. Pre-operative biliary drainage. Br J Surg, 1984, 71(12): 1007.
6.	Kumar R, Sharma BC, Singh J,et al. Endoscopic biliary drainage for severe acute cholangitis in biliary obstruction as a result of malignant and benign diseases. J Gastroenterol Hepatol, 2004, 19(9): 994-997.
7.	陈东, 梁力建, 何耀彬, 等. 术前减黄对低位胆道恶性梗阻性黄疸患者行胰十二指肠切除术的影响. 武警后勤学院学报(医学版), 2012, 22(1): 119-122.
8.	Govil S, Ramaswamy VK. Major liver resection without preoperative biliary drainage in jaundiced patients with hilar biliary obstruction. Indian J Gastroenterol, 2012, 31(6): 333-336.
9.	Eshuis WJ, van der Gaag NA, Rauws EA,et al. Therapeutic delay and survival after surgery for cancer of the pancreatic head with or without preoperative biliary drainage. Ann Surg, 2010, 252(5): 840-849.
10.	Jethwa P, Breuning E, Bhati C,et al. The microbiological impact of pre-operative biliary drainage on patients undergoing hepato-biliary-pancreatic (HPB) surgery. Aliment Pharmacol Ther, 2007, 25(10): 1175-1180.
11.	van der Gaag NA, Rauws EA, van Eijck CH,et al. Preoperative biliary drainage for cancer of the head of the pancreas. N Engl J Med, 2010, 362(2): 129-137.
12.	Moole H, Bechtold M, Puli SR. Efficacy of preoperative biliary drainage in malignant obstructive jaundice: a meta-analysis and systematic review. World J Surg Oncol, 2016, 14(1): 18.
13.	Chen Y, Ou G, Lian G,et al. Effect of preoperative biliary drainage on complications following pancreatoduodenectomy: a meta-analysis. Medicine (Baltimore), 2015, 94(29): e1199.
14.	Liu C, Lu JW, Du ZQ,et al. Association of preoperative biliary drainage with postoperative morbidity after pancreaticoduodenectomy. Gastroenterol Res Pract, 2015, 2015: 796893.
15.	中华医学会外科学分会胆道外科学组. 肝门部胆管癌诊断和治疗指南(2013 版). 中华外科杂志, 2013, 51(10): 865-871.
16.	Mansour JC, Aloia TA, Crane CH,et al. Hilar cholangiocarcinoma: expert consensus statement. HPB (Oxford), 2015, 17(8): 691-699.
17.	Haapamäki C, Seppänen H, Udd M,et al. Preoperative biliary decompression preceding pancreaticoduodenectomy with plastic or self-expandable metallic stent. Scand J Surg, 2015, 104(2): 79-85.
18.	蔡云峰, 苏树英, 崔伟珍, 等. 可切除肝门部胆管癌术前胆道引流方式的选择. 中国普通外科杂志, 2011, 20(8): 844-847.
19.	Huang X, Liang B, Zhao XQ,et al. The effects of different preoperative biliary drainage methods on complications following pancreaticoduodenectomy. Medicine (Baltimore), 2015, 94(14): e723.
20.	Nguyen-Tang T, Binmoeller KF, Sanchez-Yague A,et al. Endoscopic ultrasound (EUS)-guided transhepatic anterograde self-expandable metal stent (SEMS) placement across malignant biliary obstruction. Endoscopy, 2010, 42(3): 232-236.
21.	Kawakami H, Kuwatani M, Onodera M,et al. Endoscopic nasobiliary drainage is the most suitable preoperative biliary drainage method in the management of patients with hilar cholangiocarcinoma. J Gastroenterol, 2011, 46(2): 242-248.
22.	Walter T, Ho CS, Horgan AM,et al. Endoscopic or percutaneous biliary drainage for Klatskin tumors? J Vasc Interv Radiol, 2013, 24(1): 113-121.
23.	Garcea G, Chee W, Ong SL,et al. Preoperative biliary drainage for distal obstruction: the case against revisited. Pancreas, 2010, 39(2): 119-126.
24.	Kurahara H, Maemura K, Mataki Y,et al. Preoperative biliary drainage-related inflammation is associated with shorter survival in biliary tract cancer patients. Int J Clin Oncol, 2016, 21(5): 934-939.
25.	Xu C, Lv PH, Huang XE,et al. Internal-external percutaneous transhepatic biliary drainage for patients with malignant obstructive jaundice. Asian Pac J Cancer Prev, 2014, 15(21): 9391-9394.
26.	Kloek JJ, van der Gaag NA, Aziz Y,et al. Endoscopic and percutaneous preoperative biliary drainage in patients with suspected hilar cholangiocarcinoma. J Gastrointest Surg, 2010, 14(1): 119-125.
27.	Jo JH, Chung MJ, Han DH,et al. Best options for preoperative biliary drainage in patients with Klatskin tumors. Surg Endosc, 2016 Jun 10. [Epub ahead of print].
28.	Sasahira N, Hamada T, Togawa O,et al. Multicenter study of endoscopic preoperative biliary drainage for malignant distal biliary obstruction. World J Gastroenterol, 2016, 22(14): 3793-3802.
29.	李海洋, 孙诚谊, 潘耀振, 等. 不同途径胆道支架置入治疗恶性梗阻性黄疸 42 例回顾分析. 中国普外基础与临床杂志, 2009, 16(4): 300-303.
30.	Baer HU, Rhyner M, Stain SC,et al. The effect of communication between the right and left liver on the outcome of surgical drainage for jaundice due to malignant obstruction at the hilus of the liver. HPB Surg, 1994, 8(1): 27-31.
31.	Riemann JF, Eickhoff A. Pancreas: preoperative biliary drainage for pancreatic cancer. Nat Rev Gastroenterol Hepatol, 2010, 7(6): 308-309.
32.	Crippa S, Cirocchi R, Partelli S,et al. Systematic review and meta-analysis of metalversus plastic stents for preoperative biliary drainage in resectable periampullary or pancreatic head tumors. Eur J Surg Oncol, 2016, 42(9): 1278-1285.
33.	Forget P, Machiels JP, Coulie PG,et al. Neutrophil: lymphocyte ratio and intraoperative use of ketorolac or diclofenac are prognostic factors in different cohorts of patients undergoing breast, lung, and kidney cancer surgery. Ann Surg Oncol, 2013, 20 Suppl 3: S650-S660.
34.	Matsumoto Y, Niimoto S, Katayama K,et al. Effects of biliary drainage in obstructive jaundice on microcirculation, phagocytic activity, and ultrastructure of the liver in rats. J Hepatobiliary Pancreat Surg, 2002, 9(3): 360-366.
35.	Qiu YD, Bai JL, Xu FG,et al. Effect of preoperative biliary drainage on malignant obstructive jaundice: a meta-analysis. World J Gastroenterol, 2011, 17(3): 391-396.
36.	Aly EA, Johnson CD. Preoperative biliary drainage before resection in obstructive jaundice. Dig Surg, 2001, 18(2): 84-89.

1. Umeda J, Itoi T. Current status of preoperative biliary drainage. J Gastroenterol, 2015, 50(9): 940-954.
2. Boulay BR, Birg A. Malignant biliary obstruction: From palliation to treatment. World J Gastrointest Oncol, 2016, 8(6): 498-508.
3. 张楠. 术前减黄对恶性梗阻性黄疸患者免疫功能的影响. 医药论坛杂志, 2011, 32(3): 146-147.
4. Takada T, Hanyu F, Kobayashi S,et al. Percutaneous transhepatic cholangial drainage: direct approach under fluoroscopic control. J Surg Oncol, 1976, 8(1): 83-97.
5. Dixon JM, Armstrong CP, Davies GC. Pre-operative biliary drainage. Br J Surg, 1984, 71(12): 1007.
6. Kumar R, Sharma BC, Singh J,et al. Endoscopic biliary drainage for severe acute cholangitis in biliary obstruction as a result of malignant and benign diseases. J Gastroenterol Hepatol, 2004, 19(9): 994-997.
7. 陈东, 梁力建, 何耀彬, 等. 术前减黄对低位胆道恶性梗阻性黄疸患者行胰十二指肠切除术的影响. 武警后勤学院学报(医学版), 2012, 22(1): 119-122.
8. Govil S, Ramaswamy VK. Major liver resection without preoperative biliary drainage in jaundiced patients with hilar biliary obstruction. Indian J Gastroenterol, 2012, 31(6): 333-336.
9. Eshuis WJ, van der Gaag NA, Rauws EA,et al. Therapeutic delay and survival after surgery for cancer of the pancreatic head with or without preoperative biliary drainage. Ann Surg, 2010, 252(5): 840-849.
10. Jethwa P, Breuning E, Bhati C,et al. The microbiological impact of pre-operative biliary drainage on patients undergoing hepato-biliary-pancreatic (HPB) surgery. Aliment Pharmacol Ther, 2007, 25(10): 1175-1180.
11. van der Gaag NA, Rauws EA, van Eijck CH,et al. Preoperative biliary drainage for cancer of the head of the pancreas. N Engl J Med, 2010, 362(2): 129-137.
12. Moole H, Bechtold M, Puli SR. Efficacy of preoperative biliary drainage in malignant obstructive jaundice: a meta-analysis and systematic review. World J Surg Oncol, 2016, 14(1): 18.
13. Chen Y, Ou G, Lian G,et al. Effect of preoperative biliary drainage on complications following pancreatoduodenectomy: a meta-analysis. Medicine (Baltimore), 2015, 94(29): e1199.
14. Liu C, Lu JW, Du ZQ,et al. Association of preoperative biliary drainage with postoperative morbidity after pancreaticoduodenectomy. Gastroenterol Res Pract, 2015, 2015: 796893.
15. 中华医学会外科学分会胆道外科学组. 肝门部胆管癌诊断和治疗指南(2013 版). 中华外科杂志, 2013, 51(10): 865-871.
16. Mansour JC, Aloia TA, Crane CH,et al. Hilar cholangiocarcinoma: expert consensus statement. HPB (Oxford), 2015, 17(8): 691-699.
17. Haapamäki C, Seppänen H, Udd M,et al. Preoperative biliary decompression preceding pancreaticoduodenectomy with plastic or self-expandable metallic stent. Scand J Surg, 2015, 104(2): 79-85.
18. 蔡云峰, 苏树英, 崔伟珍, 等. 可切除肝门部胆管癌术前胆道引流方式的选择. 中国普通外科杂志, 2011, 20(8): 844-847.
19. Huang X, Liang B, Zhao XQ,et al. The effects of different preoperative biliary drainage methods on complications following pancreaticoduodenectomy. Medicine (Baltimore), 2015, 94(14): e723.
20. Nguyen-Tang T, Binmoeller KF, Sanchez-Yague A,et al. Endoscopic ultrasound (EUS)-guided transhepatic anterograde self-expandable metal stent (SEMS) placement across malignant biliary obstruction. Endoscopy, 2010, 42(3): 232-236.
21. Kawakami H, Kuwatani M, Onodera M,et al. Endoscopic nasobiliary drainage is the most suitable preoperative biliary drainage method in the management of patients with hilar cholangiocarcinoma. J Gastroenterol, 2011, 46(2): 242-248.
22. Walter T, Ho CS, Horgan AM,et al. Endoscopic or percutaneous biliary drainage for Klatskin tumors? J Vasc Interv Radiol, 2013, 24(1): 113-121.
23. Garcea G, Chee W, Ong SL,et al. Preoperative biliary drainage for distal obstruction: the case against revisited. Pancreas, 2010, 39(2): 119-126.
24. Kurahara H, Maemura K, Mataki Y,et al. Preoperative biliary drainage-related inflammation is associated with shorter survival in biliary tract cancer patients. Int J Clin Oncol, 2016, 21(5): 934-939.
25. Xu C, Lv PH, Huang XE,et al. Internal-external percutaneous transhepatic biliary drainage for patients with malignant obstructive jaundice. Asian Pac J Cancer Prev, 2014, 15(21): 9391-9394.
26. Kloek JJ, van der Gaag NA, Aziz Y,et al. Endoscopic and percutaneous preoperative biliary drainage in patients with suspected hilar cholangiocarcinoma. J Gastrointest Surg, 2010, 14(1): 119-125.
27. Jo JH, Chung MJ, Han DH,et al. Best options for preoperative biliary drainage in patients with Klatskin tumors. Surg Endosc, 2016 Jun 10. [Epub ahead of print].
28. Sasahira N, Hamada T, Togawa O,et al. Multicenter study of endoscopic preoperative biliary drainage for malignant distal biliary obstruction. World J Gastroenterol, 2016, 22(14): 3793-3802.
29. 李海洋, 孙诚谊, 潘耀振, 等. 不同途径胆道支架置入治疗恶性梗阻性黄疸 42 例回顾分析. 中国普外基础与临床杂志, 2009, 16(4): 300-303.
30. Baer HU, Rhyner M, Stain SC,et al. The effect of communication between the right and left liver on the outcome of surgical drainage for jaundice due to malignant obstruction at the hilus of the liver. HPB Surg, 1994, 8(1): 27-31.
31. Riemann JF, Eickhoff A. Pancreas: preoperative biliary drainage for pancreatic cancer. Nat Rev Gastroenterol Hepatol, 2010, 7(6): 308-309.
32. Crippa S, Cirocchi R, Partelli S,et al. Systematic review and meta-analysis of metalversus plastic stents for preoperative biliary drainage in resectable periampullary or pancreatic head tumors. Eur J Surg Oncol, 2016, 42(9): 1278-1285.
33. Forget P, Machiels JP, Coulie PG,et al. Neutrophil: lymphocyte ratio and intraoperative use of ketorolac or diclofenac are prognostic factors in different cohorts of patients undergoing breast, lung, and kidney cancer surgery. Ann Surg Oncol, 2013, 20 Suppl 3: S650-S660.
34. Matsumoto Y, Niimoto S, Katayama K,et al. Effects of biliary drainage in obstructive jaundice on microcirculation, phagocytic activity, and ultrastructure of the liver in rats. J Hepatobiliary Pancreat Surg, 2002, 9(3): 360-366.
35. Qiu YD, Bai JL, Xu FG,et al. Effect of preoperative biliary drainage on malignant obstructive jaundice: a meta-analysis. World J Gastroenterol, 2011, 17(3): 391-396.
36. Aly EA, Johnson CD. Preoperative biliary drainage before resection in obstructive jaundice. Dig Surg, 2001, 18(2): 84-89.

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Current situation and progress for preoperative biliary drainage in patients with malignant biliary obstruction diseases

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