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KMID : 0870420170210040212
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2017 Volume.21 No. 4 p.212 ~ p.216
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Effect of preoperative biliary stenting on post-operative infectious complications in pancreaticoduodenectomy
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Ng Zi Qin
Suthananthan Arul Edward
Rao Sudhakar
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Abstract
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Backgrounds/Aims: The impact of pre-operative biliary stenting (PBS) in patients undergoing pancreaticoduodenectomy on post-operative infectious complications is unclear. Therefore, the purpose of this study is to investigate the relationship between PBS and post-operative infectious complications, to determine the effect of PBS on bile bacteriology, and to correlate the bacteriology of bile and bacteria cultured from post-operative infectious complications in our institute.
Methods: Details of 51 patients undergoing pancreaticoduodenectomy January 2011-April 2015 were reviewed. Of 51 patients, 30 patients underwent pre-operative biliary stenting (PBS group) and 21 patients underwent pancreaticoduodenectomy without pre-operative biliary stenting. Post-operative infectious complications were compared between the two groups.
Results: Overall post-operative infectious complication rate was 77% and 67% in the PBS and non-PBS groups respectively. Wound infection was the main infectious complication followed by intraabdominal abscess. The rate of wound infection doubled in the PBS group (50% vs 28%). There was slight increase in incidence of intraabdominal abscess in PBS group (53% vs 46%). 80% of PBS patients had positive intraoperative bile culture as compared to 20% in non-PBS group.
Conclusions: Preoperative biliary drainage prior to pancreaticoduodenectomy increases risk of developing post-operative wound infections and intra-abdominal collections. (Ann Hepatobiliary Pancreat Surg 2017;21:212-216)
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KEYWORD
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Infection, Intra-abdominal abscess, Pancreaticoduodenectomy, Stent, Wound
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