What question did this study set out to answer?

This study aims to assess the effectiveness of percutaneous transhepatic biliary drainage (PTBD) in treating high-risk postoperative pancreatic fistulas (POPF) following pancreaticoduodenectomy (PD).

February 21, 2026Journal of Laparoendoscopic & Advanced Surgical Techniques

Percutaneous Transhepatic Biliary Drainage in High-Risk Postoperative Pancreatic Fistula after Pancreaticoduodenectomy

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This study aims to assess the effectiveness of percutaneous transhepatic biliary drainage (PTBD) in treating high-risk postoperative pancreatic fistulas (POPF) following pancreaticoduodenectomy (PD).
Conducted from January 2022 to December 2024 with 122 pancreaticoduodenectomies performed.
Identified 17 patients with clinically relevant POPF; 8 high-risk patients underwent PTBD.
Evaluated outcomes including fistula resolution time and complications associated with PTBD.
7 out of 8 patients (87.5%) in the PTBD group achieved fistula resolution within a median of 15 days post-surgery.
The median resolution time after PTBD placement was 5 days (IQR 4-6).
In the non-PTBD group, 7 out of 9 (77.8%) achieved resolution with a median of 19 days.
No complications related to PTBD were observed, and follow-up cholangiograms confirmed no bile leaks.

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Implication

Evaluates PTBD's effectiveness in managing high-risk POPF after pancreaticoduodenectomy, suggesting beneficial outcomes.

Cite This Study

Calamia et al. (2026) studied this question.

synapsesocial.com/papers/69994cd2873532290d021a8f https://doi.org/10.1177/10926429261424195

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Percutaneous Transhepatic Biliary Drainage in High-Risk Postoperative Pancreatic Fistula after Pancreaticoduodenectomy

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Discussion

Implication

Cite This Study

Percutaneous Transhepatic Biliary Drainage in High-Risk Postoperative Pancreatic Fistula after Pancreaticoduodenectomy

Key Points

Discussion

Implication

Cite This Study

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