Intraoperative Effects of Preoperative Biliary Metallic and Plastic Stents in Malignant Pancreatic Head Tumors: Surgeon Perspective
International Surgery, cilt.108, sa.4, ss.148-153, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 108 Sayı: 4
- Basım Tarihi: 2024
- Doi Numarası: 10.9738/intsurg-d-24-00020.1
- Dergi Adı: International Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.148-153
- Anahtar Kelimeler: Pancreatic cancer, Stent placement, Plastic stent, Metallic stent
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction: In practice, the aim of this study was to compare intraoperative effects of preoperative metallic and plastic stents that were inserted via endoscopic retrograde cholangiopancreatography, pancreatic cancer surgery. Material and Methods: Between December 2016 and January 2018, 130 patients who were preoperatively inserted a metallic or plastic stent and operated consecutively were prospectively included in this study. All patients underwent the Whipple’s operation. Stents were extracted and sent for microbiological evaluation intraoperatively. Surgical difficulty was evaluated by an independent surgeon according to visual analog scale from 1 to 10. Age, gender, stent cultures, postoperative infection rates, operation time, estimated blood loss, and hospitalization time were compared between the 2 groups. Results: Metallic stent was used for 29 patients and plastic stent was used for 101 patients. In the metallic stent group, 13 of 29 patients were stent-positive culture, whereas in the plastic stent group, 80 of 101 patients were stent-positive culture. When culture positivity was statistically compared, there was a significant difference. However, there was no statistically significant difference about operational difficulty scores between the 2 groups. Conclusion: Preoperative fully covered metallic stent is an effective way to decrease high bilirubin levels without an increase in operational difficulty with the advantage of low positive stent culture and surgical site infection rates.