To investigate the preoperative biliary drainage and Apgar scores of patients with Bismuth Ⅰ hilar cholangiocarcinoma who received laparoscopic radical surgery.

Retrospective analysis were performed in 58 patients with Bismuth type I hilar cholangiocarcinoma who underwent laparoscopic radical surgery from July 2008 to July 2015. According to the different preoperative drainages, 30 patients in the PTBD group underwent percutaneous transhepatic biliary drainage (PTBD), while 28 patients in the ERCP group underwent endoscopic retrograde cholangiopancreatography (ERCP). The statistical analysis was performed by using SPSS21.0 software. Measurement data such as drainage effect and Apgar scores were expressed as mean ± standard deviation and were examined by independent t test. The operation success rate and complication rate were described by (n, %) and were examined by chi square test. A P value of <0.05 was considered as statistically significant.

The drainage indexs of PTBD group were better than those of ERCP group respectively (P<0.05), however there was no significant difference in serum bilirubin level between two groups (P>0.05); the Apgar score of PTBD group was higher than that of ERCP group (P<0.05), and the incidence of biliary tract infection was lower than that of ERCP group (P<0.05).

Preoperative PTBD in laparoscopic radical surgery for hilar cholangiocarcinoma has better drainage effect, which could significantly improve the patient’s Apgar score and reduce the incidence of postoperative biliary tract infection. It is worthy of clinical application.