Pancreaticoduodenectomy: Reducing Postoperative Complications with Preoperative Biliary Drainage скачать в хорошем качестве

Pancreaticoduodenectomy: Reducing Postoperative Complications with Preoperative Biliary Drainage

Pancreaticoduodenectomy (PD) is a complex surgical procedure with a high risk of short-term complications. Obstructive jaundice, a common condition in patients undergoing PD, can significantly increase the risk of postoperative bleeding and severe complications. This video explores the role of preoperative biliary drainage (PBD) in mitigating these risks. We discuss the impact of PBD on liver function, coagulation, and immune status, and how it can optimize surgical outcomes in patients with severe jaundice. Our study proposes a specific preoperative total bilirubin level as a target for PBD, aiming to reduce severe postoperative complications. We also delve into the controversies surrounding PBD, including its efficacy in patients with mild jaundice and the optimal duration of drainage. By understanding the pathophysiology of obstructive jaundice and the benefits of PBD, surgeons can make informed decisions to improve patient outcomes.