[Usefulness of preoperative biliary drainage: comparison of therapeutic strategies].
This work shows the results obtained by the comparison between a period in which obstructive icterus was treated only surgically and a mixed period, based on endoscopic or endoscopic surgical treatment. In a period of 9 years (1979-87), 186 patients suffering from obstructive icterus were admitted into the 1st Division of General Surgery at Ospedale Maria Vittoria, Turin. In the first five years (1979-83) all the patients (78) were indistinctly operated after the usual diagnostic controls. In the following four years (1983-87) 62 out of 108 patients, considered as high-risk ones, underwent drainage by endoscopic way. In the high-risk patients, both neoplastic and not, morbidity rate, death rate and average stay in hospital were evidently lower after endoscopic or endoscopic-surgical treatment than after surgery alone. In conclusion, endoscopic pre-operating drainage in selected and/or high-risk patients greatly reduces perioperative complications and mortality.
Massaglia
F
F
I Divisione Chirurgia Generale, Ospedale Maria Vittoria, Torino.
Comotti
F
F
Aires
E
E
Coggiola
S
S
Fornari
M
M
Canino
V
V
D000368:Aged; D001646:Bile; D002779:Cholestasis / Q000601:surgery*; D004322:Drainage; D004630:Emergencies; D004724:Endoscopy; D006801:Humans; D011300:Preoperative Care; D012307:Risk Factors
Sull'utilita' del drenaggio biliare preoperatorio: strategie terapeutiche a confronto.