الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The current study was conducted on cases with malignant obstructive jaundice due to resectable pancreatic head and periampullary tumors. It included 36 men and 24 women. Their age ranged between 33 years and 73 y with a median age of 58 y.
The aim of this work was to compare the results of percutaneous versus endoscopic perioperative biliary drainage as regard to the rate of perioperative procedure related, operative and post-operative complication.
All cases were subjected to full history taking and thorough clinical assessment, dedicated laboratory tests, different available diagnostic imaging modalities including U/S, abdominal CT and MRCP.
Patients were randomized into two groups, group I were drained percutaneously (30 patients),While group II were drained endoscopically (30 patients).
Regarding the different methods of percutaneous biliary drainage: 17 patients were managed by internal/external drainage catheter, 13 patients by external drainage catheter.
In endoscopically managed group, plastic stent was used in all cases.
In this study, we found that the rate of technical success was more elevated in the percutaneous group (96%) compared to the endoscopic group (80%). However, the difference wasn’t statistically significant.
Also, the degree of reduction of the serum bilirubin was more elevated in the percutaneously managed group in comparison with the endoscopically managed group at 10 days follow up.
Furthermore, we found higher procedure related complications rate as well as mean hospital stay in the endoscopic group and the difference was of statistical significance regarding the mean hospital stay
Finally, we observed a higher rate of operative difficulty in dissection and rate of operative and post operative complication in endoscopic group which were of a statistical significant.