The role of preoperative biliary drainage (PBD) before surgery for tumors of the pancreatic head causing biliary obstruction has been controversial. A recent randomized trial revealed a higher complication rate with PBD in comparison to early surgery (within one week). Based on this trial, early surgery should be considered the preferred approach; however, the role of PBD when early surgery is not possible remains unclear.
- Daniel J. Renouf
- Malcolm J. Moore
