术前减黄存在的争议与最新研究进展
The Controversy and the Latest Research Progress of Preoperative Biliary Drainage
摘要: 肝内外胆管受到直接侵犯或压迫导致胆汁排除受阻，出现梗阻性黄疸，引起全身或局部临床表现，增加手术风险，影响患者预后。临床上，对于能通过手术或介入方法根治或缓解的肝门部肝管汇合部以下的肝外胆管梗阻，是否必要术前减黄，减黄指标及减黄方法的选择一直存在着争议。本文系统总结了梗阻性黄疸术前减黄意义、术前减黄指征、减黄方法的选择和最新研究进展，以促进在临床中对梗阻性黄疸的患者的临床干预。
Abstract: Direct invasion or compression of intrahepatic and extrahepatic bile duct leads to bile exclusion ob-struction and obstructive jaundice, which causes systemic or local clinical manifestations, increases the risk of operation and affects the prognosis of patients. Clinically, for the extrahepatic bile duct obstruction below the confluence of hepatic duct, which can be cured or relieved by operation or intervention, whether it is necessary to reduce jaundice before operation, the selection of jaundice reduction index and method has always been controversial. This paper systematically summarizes the significance of preoperative jaundice reduction, indications of preoperative jaundice reduction, selection of jaundice reduction methods and the latest research progress, in order to promote clini-cal intervention for patients with obstructive jaundice.
文章引用：吐尔地·阿不来提, 段绍斌. 术前减黄存在的争议与最新研究进展[J]. 临床医学进展, 2023, 13(10): 16737-16741. https://doi.org/10.12677/ACM.2023.13102342

参考文献

[1] Zhang, J., Yu, M., Liu, B., et al. (2021) Neutrophil Extracellular Traps Enhance Procoagulant Activity and Thrombotic Tendency in Patients with Obstructive Jaundice. Liver International, 41, 333-347. [Google Scholar] [CrossRef] [PubMed]
[2] Shen, Z., Xu, Z., Wang, W., et al. (2021) A Novel Nomogram for Predicting the Risk of Major Complications after Pancreaticoduodenectomy in Patients with Obstructive Jaundice. Clinica Chimica Acta, 517, 162-170. [Google Scholar] [CrossRef] [PubMed]
[3] Saxena, P., Kumbhari, V., Zein, M.E., et al. (2015) Preoperative Biliary Drainage. Digestive Endoscopy, 27, 265-277. [Google Scholar] [CrossRef] [PubMed]
[4] 杨素行, 王屹. 非肿瘤性疾病致梗阻性黄疸的影像学特征及鉴别诊断[J]. 中华消化外科杂志, 2017, 16(4): 423-429.
[5] Coelen, R., Roos, E., Wiggers, J.K., et al. (2018) Endoscopic versus Percutaneous Biliary Drainage in Patients with Resectable Perihilar Cholangiocarcinoma: A Multicentre, Random-ised Controlled Trial. The Lancet Gastroenterology and Hepatology, 3, 681-690. [Google Scholar] [CrossRef] 
[6] Wronka, K.M., Grąt, M., Stypułkowski, J., et al. (2019) Relevance of Preoperative Hyperbilirubinemia in Patients Undergoing Hepatobiliary Resection for Hilar Cholangiocarci-noma. Journal of Clinical Medicine, 8, Article No. 458. [Google Scholar] [CrossRef] [PubMed]
[7] Tang, Z., Yang, Y., Meng, W., et al. (2017) Best Option for Preoperative Biliary Drainage in Klatskin Tumor: A Systematic Review and Meta-Analysis. Medicine (Baltimore), 96, e8372. [Google Scholar] [CrossRef] 
[8] De Pastena, M., Paiella, S., Azzini, A.M., et al. (2018) Pre-operative Surveillance Rectal Swab Is Associated with an Increased Risk of Infectious Complications in Pancreaticoduo-denectomy and Directs Antimicrobial Prophylaxis: An Antibiotic Stewardship Strategy? HPB (Oxford), 20, 555-562. [Google Scholar] [CrossRef] [PubMed]
[9] Pande, R., Hodson, J., Marudanayagam, R., et al. (2020) Survival Advantage of Upfront Surgery for Pancreatic Head Cancer without Preoperative Biliary Drainage. Frontiers in Oncology, 10, Article ID: 526514. [Google Scholar] [CrossRef] [PubMed]
[10] Ahn, K.S., Kang, K.J., Kim, Y.H., et al. (2018) Impact of Preopera-tive Endoscopic Cholangiography and Biliary Drainage in Ampulla of Vater Cancer. Surgical Oncology, 27, 82-87. [Google Scholar] [CrossRef] [PubMed]
[11] Shen, Z., Zhang, J., Zhao, S., et al. (2020) Preoperative Biliary Drainage of Severely Obstructive Jaundiced Patients Decreases Overall Postoperative Complications after Pancreati-coduodenectomy: A Retrospective and Propensity Score-Matched Analysis. Pancreatology, 20, 529-536. [Google Scholar] [CrossRef] [PubMed]
[12] Cillo, U., Fondevila, C., Donadon, M., et al. (2019) Surgery for Cholangiocarcinoma. Liver International, 39, 143-155. [Google Scholar] [CrossRef] [PubMed]
[13] Kaneko, T., Imaizumi, H., Kida, M., et al. (2018) Influence of Cholangitis after Preoperative Endoscopic Biliary Drainage on Postoperative Pancreatic Fistula in Patients with Middle and Lower Malignant Biliary Strictures. Digestive Endoscopy, 30, 90-97. [Google Scholar] [CrossRef] [PubMed]
[14] Perinel, J. and Adham, M. (2019) Preoperative Biliary Drainage for Resectable or Borderline Resectable Periampullary Tumor: What Is the Best Management? Hepatobiliary Surgery and Nutrition, 8, 398-400. [Google Scholar] [CrossRef] [PubMed]
[15] Farges, O., Regimbeau, J.M., Fuks, D., et al. (2013) Multicentre European Study of Preoperative Biliary Drainage for Hilar Cholangiocarcinoma. British Journal of Surgery, 100, 274-283. [Google Scholar] [CrossRef] [PubMed]
[16] Ba, Y., Yue, P., Leung, J.W., et al. (2020) Percutaneous Transhepatic Biliary Drainage May Be the Preferred Preoperative Drainage Method in Hilar Cholangiocarcinoma. En-doscopy International Open, 8, E203-E210. [Google Scholar] [CrossRef] [PubMed]
[17] Duan, F., Cui, L., Bai, Y., et al. (2017) Comparison of Efficacy and Complications of Endoscopic and Percutaneous Biliary Drainage in Malignant Obstructive Jaundice: A Systematic Re-view and Meta-Analysis. Cancer Imaging, 17, Article No. 27. [Google Scholar] [CrossRef] [PubMed]
[18] Verma, N., Gupta, P., et al. (2022) Role of Percutaneous Transhepatic Biliary Drainage as an Adjunct to Endoscopic Retrograde Cholangiopancreatography. Journal of Clinical and Experimental Hepatology, 12, 287-292. [Google Scholar] [CrossRef] [PubMed]
[19] 柯昌伟, 吴硕东. 经皮经肝胆囊穿刺引流术的临床应用[J]. 中华普通外科杂志, 2017, 32(5): 463-465.
[20] Abe, K., Suzuki, K., Yahagi, M., et al. (2019) The Efficacy of PTGBD for Acute Cholecystitis Based on the Tokyo Guidelines 2018. World Journal of Surgery, 43, 2789-2796. [Google Scholar] [CrossRef] [PubMed]
[21] 张宇航, 马艳波, 杜青. 经皮经肝胆囊穿刺引流联合腹腔镜胆囊切除术治疗急性胆囊炎手术时机的选择[J]. 中华普通外科杂志, 2018, 33(5): 366-368.
[22] 叶成, 辛颖, 张宪亮, 等. 经皮经肝穿刺胆囊置管引流术的研究进展[J]. 介入放射学杂志, 2022, 31(7): 733-737.
[23] Fujii, T., Yamada, S., Suenaga, M., et al. (2015) Preoperative Internal Biliary Drainage Increases the Risk of Bile Juice Infection and Pancreatic Fistula after Pancreatoduodenectomy: A Prospective Observational Study. Pancreas, 44, 465- 470. [Google Scholar] [CrossRef] 
[24] Zhang, G.Q., Li, Y., Ren, Y.P., et al. (2017) Outcomes of Preoperative Endoscopic Nasobiliary Drainage and Endoscopic Retrograde Biliary Drainage for Malignant Distal Biliary Obstruction Prior to Pancreaticoduodenectomy. World Journal of Gastroenterology, 23, 5386-5394. [Google Scholar] [CrossRef] [PubMed]
[25] Kawashima, H., Itoh, A., Ohno, E., et al. (2013) Preoperative En-doscopic Nasobiliary Drainage in 164 Consecutive Patients with Suspected Perihilar Cholangiocarcinoma: A Retrospec-tive Study of Efficacy and Risk Factors Related to Complications. Annals of Surgery, 257, 121-127. [Google Scholar] [CrossRef] 
[26] 尼加提江∙艾比不拉, 艾尔哈提∙胡赛音, 阿依甫汗∙阿汗. 胆总管结石内镜逆行胰胆管造影术后行胆道支架置入和鼻胆管引流并发症的比较[J]. 中华普通外科学文献(电子版), 2022, 16(1): 46-49.
[27] 王君超, 陈永忠, 仝亚林. 三种姑息性减黄术治疗恶性胆道梗阻的疗效评价[J]. 中国实用医刊, 2017, 44(18): 15-18. [Google Scholar] [CrossRef] 
[28] Wu, J.M., Ho, T.W., Yen, H.H., et al. (2019) Endoscopic Retrograde Biliary Drainage Causes Intra-Abdominal Abscess in Pancre-aticoduodenectomy Patients: An Important but Neglected Risk Factor. Annals of Surgeryical Oncology, 26, 1086-1092. [Google Scholar] [CrossRef] [PubMed]
[29] Park, S.W. and Lee, S.S. (2022) Current Status of Endoscopic Management of Cholecystitis. Digestive Endoscopy, 34, 439-450. [Google Scholar] [CrossRef] [PubMed]
[30] Itoi, T., Tsuchiya, T., Sofuni, A., et al. (2018) Development of EUS-Guided Gallbladder Drainage and Current Indications. En-doscopic Ultrasound, 7, 76-78. [Google Scholar] [CrossRef] [PubMed]
[31] Teoh, A., Kitano, M., Itoi, T., et al. (2020) Endosonography-Guided Gallbladder Drainage versus Percutaneous Cholecystostomy in Very High-Risk Surgi-cal Patients with Acute Cholecystitis: An International Randomised Multicentre Controlled Superiority Trial (DRAC 1). Gut, 69, 1085-1091. [Google Scholar] [CrossRef] [PubMed]
[32] Nehme, F. and Lee, J.H. (2022) Preoperative Biliary Drainage for Pancreatic Cancer. Digestive Endoscopy, 34, 428-438. [Google Scholar] [CrossRef] [PubMed]

为你推荐