Examinando por Materia "Cholangiocarcinoma"

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    Effectiveness of percutaneous transhepatic biliary drainage versus endoscopic biliary drainage to reduce complications in preoperative patients with perihilar cholangiocarcinoma
    (Universidad Privada Norbert Wiener, 2018-12-02) Otiniano Nonato, Luz Aurora; Uturunco Vera, Milagros Lizbeth
    Objective: Systematize the evidence on the effectiveness of percutaneous transhepatic biliary drainage versus endoscopic biliary drainage to reduce complications in preoperative patients with perihilar cholangiocarcinoma. Material and Methods: Orderly, analytical and summary review of quantity from an analytical perspective through the Grade parameter in order to identify certainties found in the subsequent reference group.: Epistemonikos, PubMed, Scielo, Elsevier, Sciencedirect. In the 10 articles systematically reviewed, 50% (n= 5/10) are meta-analysis, 30% (n= 3/10) are randomized controlled trials and 20% (n= 2/10) are cohort studies. According to the data obtained from the organized analysis included in this work, they come from nations such as: Korea (20%), China (20%), Japan (10%), France (10%), Netherlands (10%), Canada (10%) USA (10%) and Australia (10%). Results: Textually of the traces found, 60% (n=6/10) (20, 21, 22,23 25, 27) indicate that DBTP is more effective than DBE while 20% (n=2/ 10) (24.28) indicate that DBE is more effective than DBTP, and 20% (n=2/10) (19.26) indicate that both DBTP and DBE have similar complications in preoperative patients with perihilar cholangiocarcinoma. Conclusion: 6 out of 10 articles showed that percutaneous transhepatic biliary drainage is more effective than endoscopic biliary drainage and should be performed as the first option, 2 of the 10 articles showed that endoscopic biliary drainage is more effective than percutaneous transhepatic biliary drainage for reduce days of prolonged hospital stay and 2 of 10 investigations demonstrated that endoscopic biliary drainage with percutaneous transhepatic biliary drainage have similar complications in preoperative patients with perihilar cholangiocarcinoma