Preoperative drainage and complication prevention strategies for jaundice caused by extrahepatic cholangiocarcinoma_West China Medical Journal

Authors：

SHI Xuewei ^1,2 , ZHANG Liyong ¹ ,  XIA Yijun ²

1. Graduate School, Inner Mongolia Medical University, Hohhot, Inner Mongolia Autonomous Region 010010, P. R. China;
2. Department of Hepatobiliary Pancreatic Spleen Surgery, Inner Mongolia People’s Hospital, Hohhot, Inner Mongolilia Autonomous Region 010017, P. R. China;

Corresponding?author：

XIA Yijun, Email: yijunxiam@sina.com

Keywords：

Cholangiocarcinoma; Preoperative jaundice reduction; Complications

DOI：

10.7507/1002-0179.202009284

Video：

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Partial or complete blockage of the bile outflow tract by extrahepatic cholangiocarcinoma often leads to jaundice, which not only causes skin itching in patients, but also destroys the body environment through a series of pathophysiological processes, reduces the surgical tolerance of patients with resectable tumors, and affects the prognosis. Preoperative jaundice reduction can reduce jaundice and relieve biliary obstruction, but the various complications that follow will also adversely affect the treatment. This article elaborates on the disadvantages of different methods for jaundice reduction, the indications for preoperative jaundice reduction, the jaundice reduction options for different types of extrahepatic cholangiocarcinoma, the complications and treatment methods of preoperative jaundice reduction for extrahepatic cholangiocarcinoma, aiming to provide a reference for clinicians, so that patients can better benefit from preoperative jaundice reduction.

Citation： SHI Xuewei, ZHANG Liyong, XIA Yijun. Preoperative drainage and complication prevention strategies for jaundice caused by extrahepatic cholangiocarcinoma. West China Medical Journal, 2021, 36(12): 1778-1782. doi: 10.7507/1002-0179.202009284 Copy

1.	Clements O, Eliahoo J, Kim JU, et al. Risk factors for intrahepatic and extrahepatic cholangiocarcinoma: a systematic review and meta-analysis. J Hepatol, 2020, 72(1): 95-103.
2.	Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of vater. Ann Surg, 1935, 102(4): 763-779.
3.	Shaib Y, Rahal MA, Rammal MO, et al. Preoperative biliary drainage for malignant biliary obstruction: results from a national database. J Hepatobiliary Pancreat Sci, 2017, 24(11): 637-642.
4.	李敏, 陶穎, 劉寒, 等. 梗阻性黃疸術前減黃的必要性和爭議. 中華肝臟外科手術學電子雜志, 2018, 7(6): 447-449.
5.	殷曉煜. 肝門部膽管癌術前行膽道引流術減輕黃疸的爭議與策略. 中華消化外科雜志, 2018, 17(3): 229-232.
6.	Ramanathan R, Borrebach J, Tohme S, et al. Preoperative biliary drainage is associated with increased complications after liver resection for proximal cholangiocarcinoma. J Gastrointest Surg, 2018, 22(11): 1950-1957.
7.	劉穎斌, 王許安. 膽道惡性腫瘤外科治療的問題和對策. 中華消化外科雜志, 2019, 18(2): 117-122.
8.	Talukder S, Behera A, Tandup C, et al. Isolated implant metastasis in chest wall due to seeding of transpleurally placed PTBD catheter tract in a case of hilar cholangiocarcinoma. BMJ Case Rep, 2017, 2017: 219864.
9.	金超, 竇科峰. 肝門部膽管癌外科治療的熱點與難點. 國際外科學雜志, 2013, 40(5): 294-296.
10.	Dumonceau JM, Tringali A, Papanikolaou IS, et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline- updated october 2017. Endoscopy, 2018, 50(9): 910-930.
11.	De Simone W, Crafa F, Noviello A, et al. Bilirubin removal with coupled plasma filtration and adsorption in patients affected by hilar cholangiocarcinoma. G Ital Nefrol, 2017, 34: 2017.
12.	Tsuzuki T, Ogata Y, Iida S, et al. Carcinoma of the bifurcation of the hepatic ducts. Arch Surg, 1983, 118(10): 1147-1151.
13.	程石, 趙修浩. 肝門部膽管癌術前減黃臨床意義. 腹部外科, 2019, 32(5): 319-323.
14.	田伏洲, 石力, 湯禮軍, 等. 對惡性梗阻性黃疸術前減黃指標的再認識(附 28 例臨床分析). 中國現代普通外科進展, 2010, 13(1): 1-4.
15.	Enomoto LM, Dixon MEB, Burdette A, et al. Biliary drainage before and after liver resection for perihilar cholangiocarcinoma. Am Surg, 2020, 86(6): 628-634.
16.	Cai Y, Tang Q, Xiong X, et al. Preoperative biliary drainage versus direct surgery for perihilar cholangiocarcinoma: a retrospective study at a single center. Biosci Trends, 2017, 11(3): 319-325.
17.	Hajibandeh S, Hajibandeh S, Satyadas T. Endoscopic versus percutaneous preoperative biliary drainage in patients with klatskin tumor undergoing curative surgery: a systematic review and meta-analysis of short-term and long-term outcomes. Surg Innov, 2020, 27(3): 279-290.
18.	Ba Y, Yue P, Leung JW, et al. Percutaneous transhepatic biliary drainage may be the preferred preoperative drainage method in hilar cholangiocarcinoma. Endosc Int Open, 2020, 8(2): E203-E210.
19.	Zhang W, Che X. Comparison of effect between nasobiliary drainage and biliary stenting in malignant biliary obstruction: a systematic review and updated meta-analysis. World J Surg Oncol, 2020, 18(1): 71.
20.	Nakai Y, Yamamoto R, Matsuyama M, et al. Multicenter study of endoscopic preoperative biliary drainage for malignant hilar biliary obstruction: E-POD hilar study. J Gastroenterol Hepatol, 2018, 33(5): 1146-1153.
21.	Miura F, Sano K, Wada K, et al. Prognostic impact of type of preoperative biliary drainage in patients with distal cholangiocarcinoma. Am J Surg, 2017, 214(2): 256-261.
22.	Fujii T, Yamada S, Suenaga M, et al. Preoperative internal biliary drainage increases the risk of bile juice infection and pancreatic fistula after pancreatoduodenectomy: a prospective observational study. Pancreas, 2015, 44(3): 465-470.
23.	Akita M, Ajiki T, Matsumoto T, et al. Preoperative cholangitis affects survival outcome in patients with extrahepatic bile duct cancer. J Gastrointest Surg, 2017, 21(6): 983-989.
24.	劉銳, 陳偉偉, 黃坤, 等. 谷氨酰胺強化腸外聯合腸內營養對惡性梗阻性黃疸減黃術后患者免疫及腸屏障功能的影響. 中國現代醫學雜志, 2019: 1-10.
25.	Al Mahjoub A, Menahem B, Fohlen A, et al. Preoperative biliary drainage in patients with resectable perihilar cholangiocarcinoma: is percutaneous transhepatic biliary drainage safer and more effective than endoscopic biliary drainage? A meta-analysis. J Vasc Interv Radiol, 2017, 28(4): 576-582.
26.	孫士全, 毛諒, 仇毓東. 梗阻性黃疸術前減黃指征. 肝膽外科雜志, 2018, 26(3): 167-171.
27.	Naranjo A, Cruz A, López P, et al. Renal function after dopamine and fluid administration in patients with malignant obstructive jaundice. A prospective randomized study. J Gastrointestin Liver Dis, 2011, 20(2): 161-167.
28.	Jayarajah U, Basnayake O, Wijerathne PK, et al. Acute kidney injury due to high-output external biliary drainage in a patient with malignant obstructive jaundice: a case report. J Med Case Rep, 2019, 13(1): 251.
29.	Takahashi Y, Nagino M, Nishio H, et al. Percutaneous transhepatic biliary drainage catheter tract recurrence in cholangiocarcinoma. Br J Surg, 2010, 97(12): 1860-1866.
30.	Sakata J, Shirai Y, Wakai T, et al. Catheter tract implantation metastases associated with percutaneous biliary drainage for extrahepatic cholangiocarcinoma. World J Gastroenterol, 2005, 11(44): 7024-7027.
31.	Wang L, Lin N, Xin F, et al. A systematic review of the comparison of the incidence of seeding metastasis between endoscopic biliary drainage and percutaneous transhepatic biliary drainage for resectable malignant biliary obstruction. World J Surg Oncol, 2019, 17(1): 116.
32.	Kawakubo K, Kawakami H, Kuwatani M, et al. Lower incidence of complications in endoscopic nasobiliary drainage for hilar cholangiocarcinoma. World J Gastrointest Endosc, 2016, 8(9): 385-390.
33.	Uesaka K, Kamiya J, Nagino M, et al. Treatment of recurrent cancer after surgery for biliary malignancies. Nihon Geka Gakkai Zasshi, 1999, 100(2): 195-199.
34.	Shimizu Y, Yasui K, Kato T, et al. Implantation metastasis along the percutaneous transhepatic biliary drainage sinus tract. Hepatogastroenterology, 2004, 51(56): 365-367.

1. Clements O, Eliahoo J, Kim JU, et al. Risk factors for intrahepatic and extrahepatic cholangiocarcinoma: a systematic review and meta-analysis. J Hepatol, 2020, 72(1): 95-103.
2. Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of vater. Ann Surg, 1935, 102(4): 763-779.
3. Shaib Y, Rahal MA, Rammal MO, et al. Preoperative biliary drainage for malignant biliary obstruction: results from a national database. J Hepatobiliary Pancreat Sci, 2017, 24(11): 637-642.
4. 李敏, 陶穎, 劉寒, 等. 梗阻性黃疸術前減黃的必要性和爭議. 中華肝臟外科手術學電子雜志, 2018, 7(6): 447-449.
5. 殷曉煜. 肝門部膽管癌術前行膽道引流術減輕黃疸的爭議與策略. 中華消化外科雜志, 2018, 17(3): 229-232.
6. Ramanathan R, Borrebach J, Tohme S, et al. Preoperative biliary drainage is associated with increased complications after liver resection for proximal cholangiocarcinoma. J Gastrointest Surg, 2018, 22(11): 1950-1957.
7. 劉穎斌, 王許安. 膽道惡性腫瘤外科治療的問題和對策. 中華消化外科雜志, 2019, 18(2): 117-122.
8. Talukder S, Behera A, Tandup C, et al. Isolated implant metastasis in chest wall due to seeding of transpleurally placed PTBD catheter tract in a case of hilar cholangiocarcinoma. BMJ Case Rep, 2017, 2017: 219864.
9. 金超, 竇科峰. 肝門部膽管癌外科治療的熱點與難點. 國際外科學雜志, 2013, 40(5): 294-296.
10. Dumonceau JM, Tringali A, Papanikolaou IS, et al. Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline- updated october 2017. Endoscopy, 2018, 50(9): 910-930.
11. De Simone W, Crafa F, Noviello A, et al. Bilirubin removal with coupled plasma filtration and adsorption in patients affected by hilar cholangiocarcinoma. G Ital Nefrol, 2017, 34: 2017.
12. Tsuzuki T, Ogata Y, Iida S, et al. Carcinoma of the bifurcation of the hepatic ducts. Arch Surg, 1983, 118(10): 1147-1151.
13. 程石, 趙修浩. 肝門部膽管癌術前減黃臨床意義. 腹部外科, 2019, 32(5): 319-323.
14. 田伏洲, 石力, 湯禮軍, 等. 對惡性梗阻性黃疸術前減黃指標的再認識(附 28 例臨床分析). 中國現代普通外科進展, 2010, 13(1): 1-4.
15. Enomoto LM, Dixon MEB, Burdette A, et al. Biliary drainage before and after liver resection for perihilar cholangiocarcinoma. Am Surg, 2020, 86(6): 628-634.
16. Cai Y, Tang Q, Xiong X, et al. Preoperative biliary drainage versus direct surgery for perihilar cholangiocarcinoma: a retrospective study at a single center. Biosci Trends, 2017, 11(3): 319-325.
17. Hajibandeh S, Hajibandeh S, Satyadas T. Endoscopic versus percutaneous preoperative biliary drainage in patients with klatskin tumor undergoing curative surgery: a systematic review and meta-analysis of short-term and long-term outcomes. Surg Innov, 2020, 27(3): 279-290.
18. Ba Y, Yue P, Leung JW, et al. Percutaneous transhepatic biliary drainage may be the preferred preoperative drainage method in hilar cholangiocarcinoma. Endosc Int Open, 2020, 8(2): E203-E210.
19. Zhang W, Che X. Comparison of effect between nasobiliary drainage and biliary stenting in malignant biliary obstruction: a systematic review and updated meta-analysis. World J Surg Oncol, 2020, 18(1): 71.
20. Nakai Y, Yamamoto R, Matsuyama M, et al. Multicenter study of endoscopic preoperative biliary drainage for malignant hilar biliary obstruction: E-POD hilar study. J Gastroenterol Hepatol, 2018, 33(5): 1146-1153.
21. Miura F, Sano K, Wada K, et al. Prognostic impact of type of preoperative biliary drainage in patients with distal cholangiocarcinoma. Am J Surg, 2017, 214(2): 256-261.
22. Fujii T, Yamada S, Suenaga M, et al. Preoperative internal biliary drainage increases the risk of bile juice infection and pancreatic fistula after pancreatoduodenectomy: a prospective observational study. Pancreas, 2015, 44(3): 465-470.
23. Akita M, Ajiki T, Matsumoto T, et al. Preoperative cholangitis affects survival outcome in patients with extrahepatic bile duct cancer. J Gastrointest Surg, 2017, 21(6): 983-989.
24. 劉銳, 陳偉偉, 黃坤, 等. 谷氨酰胺強化腸外聯合腸內營養對惡性梗阻性黃疸減黃術后患者免疫及腸屏障功能的影響. 中國現代醫學雜志, 2019: 1-10.
25. Al Mahjoub A, Menahem B, Fohlen A, et al. Preoperative biliary drainage in patients with resectable perihilar cholangiocarcinoma: is percutaneous transhepatic biliary drainage safer and more effective than endoscopic biliary drainage? A meta-analysis. J Vasc Interv Radiol, 2017, 28(4): 576-582.
26. 孫士全, 毛諒, 仇毓東. 梗阻性黃疸術前減黃指征. 肝膽外科雜志, 2018, 26(3): 167-171.
27. Naranjo A, Cruz A, López P, et al. Renal function after dopamine and fluid administration in patients with malignant obstructive jaundice. A prospective randomized study. J Gastrointestin Liver Dis, 2011, 20(2): 161-167.
28. Jayarajah U, Basnayake O, Wijerathne PK, et al. Acute kidney injury due to high-output external biliary drainage in a patient with malignant obstructive jaundice: a case report. J Med Case Rep, 2019, 13(1): 251.
29. Takahashi Y, Nagino M, Nishio H, et al. Percutaneous transhepatic biliary drainage catheter tract recurrence in cholangiocarcinoma. Br J Surg, 2010, 97(12): 1860-1866.
30. Sakata J, Shirai Y, Wakai T, et al. Catheter tract implantation metastases associated with percutaneous biliary drainage for extrahepatic cholangiocarcinoma. World J Gastroenterol, 2005, 11(44): 7024-7027.
31. Wang L, Lin N, Xin F, et al. A systematic review of the comparison of the incidence of seeding metastasis between endoscopic biliary drainage and percutaneous transhepatic biliary drainage for resectable malignant biliary obstruction. World J Surg Oncol, 2019, 17(1): 116.
32. Kawakubo K, Kawakami H, Kuwatani M, et al. Lower incidence of complications in endoscopic nasobiliary drainage for hilar cholangiocarcinoma. World J Gastrointest Endosc, 2016, 8(9): 385-390.
33. Uesaka K, Kamiya J, Nagino M, et al. Treatment of recurrent cancer after surgery for biliary malignancies. Nihon Geka Gakkai Zasshi, 1999, 100(2): 195-199.
34. Shimizu Y, Yasui K, Kato T, et al. Implantation metastasis along the percutaneous transhepatic biliary drainage sinus tract. Hepatogastroenterology, 2004, 51(56): 365-367.

West China Medical Journal

Preoperative drainage and complication prevention strategies for jaundice caused by extrahepatic cholangiocarcinoma

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