Long-Term Outcomes of Plastic Versus Metal Stents for Preoperative Biliary Drainage in Pancreatic Cancer: A Nationwide Propensity Score-Matched Analysis - PubMed
3 hours ago
- #Stent Comparison
- #Pancreatic Cancer
- #Biliary Drainage
- The study compares long-term outcomes of plastic (PS) versus metal stents (MS) for preoperative biliary drainage (PBD) in pancreatic ductal adenocarcinoma (PDAC).
- Using a nationwide database, propensity score-matched analysis found no significant differences in overall survival (OS) or recurrence-free survival (RFS) between PS and MS after pancreaticoduodenectomy.
- No significant differences in postoperative adverse events between stent types were observed, including in patients receiving neoadjuvant therapy (NAT).
- Secondary analysis also showed no survival differences between endoscopic (ERCP) and percutaneous (PTBD) biliary drainage methods.
- Stent selection should be individualized based on drainage duration and treatment strategy, not long-term prognosis expectations.