关键词: 胰腺癌, 术前胆管引流, 手术方式, 感染预防

Abstract: Indications and methods of preoperative biliary drainage for pancreatic cancer        WANG Yi-cheng，QIU Jiang-dong，YANG Gang，et al. Department of General Surgery，Peking Union Medical College Hospital，Chinese Academy of Medical Sciences and Peking Union Medical College，Beijing 100730，China
Corresponding author：ZHANG Tai-ping，E-mail：tpingzhang@
yahoo.com
Abstract    Pancreatic cancer is a kind of highly malignant tumor and surgery is the only possible radical treatment. However，some patients with pancreatic head cancer will have obstructive jaundice. It will affect the liver function and blood coagulation，resulting in adverse effects on the operation. Therefore，preoperative biliary drainage is required. However，some studies have found that preoperative biliary drainage can lead to an increased risk of postoperative complications. Therefore，there are still many controversies including drainage indications，surgical timing，and drainage methods. For the pancreatic cancer patients with obstructive jaundice，more attention should be paid to the perioperative management，advantages of multidisciplinary collaboration should be fully utilized，and personalized treatment should be promoted. It will further improve the quality of perioperative complication management and the prognosis of patients.

Key words: pancreatic cancer, preoperative biliary drainage, surgical methods, infection prevention