Over the last ten years, various nonoperative procedures including endoscopic papillotomy reduced the number of patients who underwent surgery for bile duct stones, and the procedure of choledo choduodenostomy (CD) disappeared from the surgical
practce
in many centers. Consequently Hepaticojejunostomy (HJ), which ahs been used in cancer surgery, is preferred more and more, even in benign disease. But some authors still favor the use of CD, because it is less time-consuming than HJ and does not
preclude further endoscopic exploration.
So the question arises which type of biliary enteric anastomosis is preferable when a choice is possible.
We obtained the following results;
CD was performed in 27 patients and HJ in 38 patients.
The male to female ratio was 1:2.3, and the age incidence was most commonly distributed in 5 th decade.
The duration of operation was 168 minutes in CD, 327 minutes in HJ and 261 minutes on the average.
The lenght of hospital stay was 18 days in CD, 25 days in HJ and 22 days on an average.
CD was performed for CBD stones (55.6%), CBD & IHD stones (18.%%), IHD stones (14.8%), and GB, CBD & IHD stones (11.1%).
HJ was performed for the CBD & IHD stones (42.1%), IHD stones (26.3%), GB, CBD & IHD sotnes (21.1%) and CBD stoens (10.5%).
The postoperative complciation rate was 38.5% and there was no difference between CD and HJ in early complications.
IN late complications, CD revealed the remnant stoens (6 cases), recurrent stoens (4 cases) and anastomosis site stricture (2 cases), whereas HJ vrevealed remnant stones (2 cases) and no anastomosis site stricutre.
There was no operative mortality.
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