Early biliary complications after pancreatoduodenectomy
https://doi.org/10.16931/1995-5464.2021-4-114-119
Abstract
This study aimed to review latest investigations concerning early biliary complications following major pancreatic surgery. 127 original articles in English language were found via PubMed literature search using key words over the last 5 years. After application of exclusion criteria (full-text in English not available, duplicating paper, age of paper over 5 years) a total of 29 articles were included in this study. Herein we review epidemiology and classification of early biliary complications after pancreatoduodenectomy, current views on pathogenesis, prophylaxis, diagnostics and treatment of early biliary complications. In early postoperative course of pancreatoduodenectomy patients may develop transient jaundice, cholangitis, early biliary strictures and post-procedural bile leak. Frequency of these conditions range from 3 to 24% and depends on epidemiological features of population, statistics and combined conditions. A number of patient- and surgery-dependent risk factors have been described. Modern interventional radiology offers a wide range of procedures for diagnostics and treatment of early biliary complications after pancreatoduodenectomy which showed to be safe and effective when endoscopic manipulations are contraindicated due to high risk. Well-timed diagnosis and treatment allow to avoid severe early biliary complications, re-interventions and reoperations which provides a good prognosis and lowers medical and financial burden.
About the Authors
V. Y. Rayn
Khanty-Mansiysk State Medical Academy, Department for Hospital Surgery; District Clinical Hospital of the Khanty-Mansiysk Autonomous Okrug – Ugra
Russian Federation
Russian Federation
Vasilisa Y. Rayn – Senior Teacher of the Department for Hospital Surgery, Resident Oncologist of the Out-patient Department for Oncology, District Clinical Hospital of the Khanty-Mansiysk Autonomous Okrug – Ugra
40, Mira str., Khanty-Mansiysk, 628011, Phone: +7-982-194-67-41
40, Kalinina str., Khanty-Mansiysk, 628012
D. P. Kislitsin
Khanty-Mansiysk State Medical Academy, Department for Hospital Surgery; District Clinical Hospital of the Khanty-Mansiysk Autonomous Okrug – Ugra
Russian Federation
Russian Federation
Dmitry P. Kislitsin – Cand. of Sci. (Med.), Head of the Department of Hospital Surgery of Khanty-Mansiysk State Medical Academy, Head of Surgical Department № 1 of District Clinical Hospital of the Khanty-Mansiysk Autonomous Okrug – Ugra
40, Mira str., Khanty-Mansiysk, 628011
40, Kalinina str., Khanty-Mansiysk, 628012
A. A. Chernov
Khanty-Mansiysk State Medical Academy, Department for Hospital Surgery; District Clinical Hospital of the Khanty-Mansiysk Autonomous Okrug – Ugra
Russian Federation
Russian Federation
Aleksandr A. Chernov – Assistant of the Department of Hospital Surgery of Khanty-Mansiysk State Medical Academy, Resident Surgeon of Surgical Department № 1 of the Khanty-Mansiysk Autonomous Okrug – Ugra
40, Mira str., Khanty-Mansiysk, 628011
40, Kalinina str., Khanty-Mansiysk, 628012
V. V. Bukir
District Clinical Hospital of the Khanty-Mansiysk Autonomous Okrug – Ugra
Russian Federation
Russian Federation
Vladimir V. Bukir – Resident Surgeon of the First Qualification Category of Surgical Department № 1
40, Kalinina str., Khanty-Mansiysk, 628012
References
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Supplementary files
Review
For citations:
Rayn V.Y., Kislitsin D.P., Chernov A.A., Bukir V.V. Early biliary complications after pancreatoduodenectomy. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2021;26(4):114-119. (In Russ.) https://doi.org/10.16931/1995-5464.2021-4-114-119
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