在周围肺癌中进行术前胆道排水后的胰腺手术:时间是否重要? 一个系统的审查和元分析
Mohamed Maatouk1, Ghassen H Kbir1, Anis Ben Dhaou1
1A21 Surgery Department, Charles Nicolle Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
概括
在胰腺二切除术 (PD) 之前,进行手术前胆道排水 (PBD) 的最佳时间并不关键. 研究表明,短时间排水和长时间排水之间的结果没有显著差异,这表明更早的手术是可行的.
科学领域:
- 胃肠病学和肝病学
- 手术瘤学手术瘤学
- 胆汁干预 胆汁干预
背景情况:
- 阻塞性黄会对接受胰腺双管切除术 (PD) 的患者产生负面影响.
- 手术前胆道排水 (PBD) 旨在减轻这些影响.
- 在PBD和PD之间的最佳间隔尚未确立.
结论:
- 如果需要PBD,可以尽快进行胰腺切除.
- 应该把重点放在优化术后护理上,而不是长时间的PBD间隔.
- 这一发现支持在接受PD的阻塞性黄患者的及时手术干预.
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