{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T20:04:24Z","timestamp":1760645064854,"version":"3.32.0"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[1984,12,1]],"date-time":"1984-12-01T00:00:00Z","timestamp":470707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1984,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Pancreatic resection for pancreatic and periampullary cancer between 1969 and 1975 at The Ohio State University Hospitals had an associated operative mortality rate of 30% and a morbidity rate of 80%. Transhepatic biliary decompression (THD) has been accepted as a method of preoperative risk reduction in the deeply jaundiced patient and an alternative to surgical biliary decompression. The use of preoperative THD in pancreatic and periampullary cancer was examined. Of 44 patients with bilirubin greater than 10\u00a0mg\/100\u00a0ml, 17 had radical resection (THD=7, no THD=10), and 27 had palliative operation (THD=17, no THD=10). Preoperative serum bilirubin in the THD group was 7.3\u00b11.0 compared to 16.3 \u00b11.5\u00a0in the no THD group (<jats:italic>p<\/jats:italic>&lt; 0.05). Operative morbidity rate was: radical surgery: THD (40%), no THD (70%); palliative surgery: THD (18%), no THD (20%). Operative mortality rate was: radical surgery: THD (28%), no THD (60%); palliative surgery: THD (6%), no THD (0%). Catheter\u2010related complications were minimal. Preoperative THD tends to reduce the risk of curative resection for pancreatic and periampullary cancer, but does not alter the outcome of palliative surgery. Long\u2010term THD may be an alternative if palliative surgical biliary decompression either fails or is not technically possible in the patient with unresectable cancer.<\/jats:p>","DOI":"10.1007\/bf01656026","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T02:23:31Z","timestamp":1115519011000},"page":"862-871","source":"Crossref","is-referenced-by-count":17,"title":["Preoperative transhepatic biliary decompression in pancreatic and periampullary cancer"],"prefix":"10.1002","volume":"8","author":[{"given":"E. Christopher","family":"Ellison","sequence":"first","affiliation":[{"name":"Department of Radiology The Ohio State University College of Medicine 410 West 10th Avenue Columbus Ohio USA"},{"name":"Department of Surgery The Ohio State University College of Medicine 410 West 10th Avenue 43210 Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael E.","family":"Van Aman","sequence":"additional","affiliation":[{"name":"Department of Radiology The Ohio State University College of Medicine 410 West 10th Avenue Columbus Ohio USA"},{"name":"Department of Surgery The Ohio State University College of Medicine 410 West 10th Avenue 43210 Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larry C.","family":"Carey","sequence":"additional","affiliation":[{"name":"Department of Radiology The Ohio State University College of Medicine 410 West 10th Avenue Columbus Ohio USA"},{"name":"Department of Surgery The Ohio State University College of Medicine 410 West 10th Avenue 43210 Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1984,12]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(78)90295-0"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(81)90013-1"},{"key":"e_1_2_1_4_1","first-page":"356","article-title":"Relief of obstructive jaundice through percutaneous transhepatic catheter\u2014A new therapeutic method","volume":"122","author":"Molnar W.","year":"1974","journal-title":"Am. 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