Hoffman, "Laparoscopic radical cholecystectomy and Roux-en-Y
choledochojejunostomy for gallbladder cancer," Surgical Endoscopy, vol.
Primary choledochoduodenostomy or RouxenY
choledochojejunostomy (7) are other options if the distal end is not identified or there is fear of postoperative stricture.
The second most common complication was biliary leak which was observed in majority of cases undergoing choledochojejunostomy, choledochoduodenostomy and cholecystoju- jenostomy.
Choledochojejunostomy is preferred method for bilio-pancreatic malignancy8,13 because majority of cases are not curable and present with obstructive jaundice6 thus most commonly performed method is cholecystojejunostomy for irresectable pancreatic carcinoma14 along with routine gastrojejunostomy.15 In this study different variants of choledochojejunostomy in the form of side to side choledochojejunostomy (6.02%), side to side choledochojejunostomy with enter-enterostomy (6.02%) and Roux-en-Y choledochojejunostomy (12.05%) were performed mainly for benign conditions such as biliary strictures, biliary obstruction of unknown aetiology and biliary injuries.
Biliary-enteric anastomosis e.g., Roux-en-Y choledochojejunostomy was done.
In 3 cases (37.5) palliation done with cholecystectomy and Roux-en-Y hepatico or choledochojejunostomy and in one case (12.5%) percutaneous transhepatic biliary drainage (PTBD) was performed.
Biliary duct injuries were most difficult problems and therefore required major surgical procedures in form of Roux-en-Y Hepatico-jejunostomy (0.6%) or
choledochojejunostomy (0.4%) and choledochoduodenostomy (0.1%).
19 patients (67.8%) was more than 20mm.1 case (3.5%) underwent
choledochojejunostomy as the patient had a scarred duodenum from acid peptic disease and had undergone Gastrojejunostomy earlier.
