Ann Hepatobiliary Pancreat Surg.  2017 Nov;21(4):212-216. 10.14701/ahbps.2017.21.4.212.

Effect of preoperative biliary stenting on post-operative infectious complications in pancreaticoduodenectomy

Affiliations
  • 1Department of General Surgery, Royal Perth Hospital, Perth, Western Australia, Australia. kentng@hotmail.co.uk

Abstract

BACKGROUNDS/AIMS
The impact of pre-operative biliary stenting (PBS) in patients undergoing pancreaticoduodenectomy on post-operative infectious complications is unclear. Therefore, the purpose of this study is to investigate the relationship between PBS and post-operative infectious complications, to determine the effect of PBS on bile bacteriology, and to correlate the bacteriology of bile and bacteria cultured from post-operative infectious complications in our institute.
METHODS
Details of 51 patients undergoing pancreaticoduodenectomy January 2011-April 2015 were reviewed. Of 51 patients, 30 patients underwent pre-operative biliary stenting (PBS group) and 21 patients underwent pancreaticoduodenectomy without pre-operative biliary stenting. Post-operative infectious complications were compared between the two groups.
RESULTS
Overall post-operative infectious complication rate was 77% and 67% in the PBS and non-PBS groups respectively. Wound infection was the main infectious complication followed by intraabdominal abscess. The rate of wound infection doubled in the PBS group (50% vs 28%). There was slight increase in incidence of intraabdominal abscess in PBS group (53% vs 46%). 80% of PBS patients had positive intraoperative bile culture as compared to 20% in non-PBS group.
CONCLUSIONS
Preoperative biliary drainage prior to pancreaticoduodenectomy increases risk of developing post-operative wound infections and intra-abdominal collections.

Keyword

Infection; Intra-abdominal abscess; Pancreaticoduodenectomy; Stent; Wound

MeSH Terms

Abdominal Abscess
Abscess
Bacteria
Bacteriology
Bile
Drainage
Humans
Incidence
Pancreaticoduodenectomy*
Stents*
Wound Infection
Wounds and Injuries

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