Evaluation of short-term surgical outcomes after choledochoduodenostomy and Roux-en-Y hepaticojejunostomy in patients with distal benign biliary disorders, A Prospective Comparative Study | ||
| The Egyptian Journal of Surgery | ||
| Volume 43, Issue 3, July 2024, Pages 1000-1006 PDF (286.37 K) | ||
| Document Type: Original Article | ||
| DOI: 10.10.21608/EJSUR.2024.274367.1010 | ||
| Authors | ||
| Ahmad M. M. Husayn* ; Ashraf Farouk Abadeer; Mohamed H. Zaid; Ahmed Saeed Saad; Ayman Hossam Eldin Abd El Monaem | ||
| Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt | ||
| Abstract | ||
| Background: For many benign biliary disorders (BBD), some forms of biliary-enteric anastomosis (BEA) remain the accepted modality of treatment. Choledochoduodenostomy (CD) and Roux-en-Y hepaticojejunostomy (HJ) are considered to be the most commonly used techniques for BEA. This study gives a comprehensive overview on short-term surgical outcomes after both techniques in patients requiring a BEA for BBD affecting distal common bile duct (CBD). Patients and Methods: It is a prospective comparative randomized study conducted in Ain Shams University Hospitals over a period of one year starting from June 2022. Thirty patients requiring a BEA for BBD affecting distal CBD were randomly divided into two equal groups, first group was operated CD and the other had Roux-en-Y HJ with a follow-up period of about 6 months. Results: Operative time was longer in HJ group (152.67±14.38 mins) compared to CD group (134±13.52 mins). Postoperative hospital stay was (7.07±1.1) and (6.13±0.99) days in patients of HJ group and CD group, respectively. No mortality happened in either group, and postoperative complications were comparable between both of them, with overall morbidity of (26.7%) after CD versus (20%) after the HJ. Conclusion: Roux-en-Y HJ is a reliable technique to create a BEA in patients with BBD affecting distal CBD, that couldn’t be managed conservatively or via minimally invasive approaches. Technically it is more complex compared to CD, and maybe non-applicable in patients with marked abdominal adhesions or previous bowel surgeries, yet it is associated with less postoperative complications. | ||
| Keywords | ||
| Biliary-enteric anastomosis; choledochoduodenostomy; Roux-en-Y hepaticojejunostomy | ||
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