Obstructive jaundice - Management of hilar block - When to Biopsy? Preoperative biliary drainage
Malignant obstructive jaundice is a tricky case to manage as it has a lot of underlying controversial issues such as when and how to biopsy?, patient fitness assessment, whether to do preoperative biliary drainage or not and which drainage to perform? - Endoscopic or percutaneous that is ERCP or PTBD and so on..
The talk by Dr. Aniruddha Phadke from Lilavati hospital, Mumbai Maharashtra India emphasises on the accurate and exhaustive planning of these patients management issues as the key to good outcomes. Malignant obstructive jaundice can be due to hilar cholangiocarcinoma or carcinoma at neck of gall bladder involving the hilum or lymph nodal compression among other causes.
Preoperative biliary drainage is another controversial area and optimum levels of resection need to be achieved as target levels with biliary drainage. So, do have a look at this video that gives a complete overview of managing the hilar block from an experienced expert in the field.