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introduction / background

Management of benign distal biliary stricture (DBBS) can be done by performing choledochoduodenostomy (CDD) for internal biliary drainage. With the wide application of laparoscopic surgery in biliary diseases, CDD can performed laparoscopically. Laparoscopic CDD should be attempted only by experienced biliary surgeons who are facile with laparoscopic suturing

Objectives

The aim of this study was to assess the feasibility, safety, and outcome of laparoscopic choledochoduodenostomy in the management of benign distal common bile duct stricture.

Materials & Methods

This prospective cohort study included 30 patients diagnosed with DBBS that required surgical treatment. It was conducted at the Gastrointestinal and Laparoscopic Surgery Unit, General Surgery Department, Tanta University Hospitals during the period from January 2018 till January 2020

Results

All patients were referred by the endoscopists due to recurrent DBBS after failed endoscopic management. The mean operative time was 200.52±62.17 minutes. The mean post-operative hospital stay was 5.8± 1.62 days. Early post-operative ileus and vomiting occurred in two patients and superficial surgical site infections occurred in three patients

Conculsion

Laparoscopic choledochoduodenostomy is safe, feasible, and effective procedure for management of DBBS.

References

Attri MR, Bhardawj R, Kumar IA, et al 2021. Laparoscopic Choledochoduodenostomy in Bile Duct Stone Diseases. Ind J Surg Sankaran RJ, Raju P, Syed A, et al. 2019. Laparoscopic Choledochoduodenostomy: Role, Safety, and Efficacy? Our Experience of 64 Cases. Saudi J Laparosc; 4:33-38

acknowledgement / Contact

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