ArticleSurgical endoscopy2025
Laparoscopic hepaticoduodenostomy for bilioenteric reconstruction: an experience.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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1 citing paper in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRoux-en-Y hepaticojejunostomy is the commonly performed method of bilioenteric reconstruction and experience of hepaticoduodenostomy (HD) is limited. This study describes our experience of Laparoscopic HD (LHD) for bilioenteric reconstruction.
methodsA total of 125 patients who underwent LHD from January 2016 to June 2023 were included. Short- and long-term outcomes were analysed.
resultsLHD was feasible in 91.5% (86/94) of patients with CDC (Group 1) and 54.9% (39/71) of BBS (Group 2). The mean operative time, time to resume orally, and hospital stay were 210 min, 3 days, and 6 days, respectively. Mean operative blood loss was 95 ml. Post-operative bile leak was noted in 8% (10/125) patients. Median follow-up was 40 months. Clinically relevant bile reflux gastritis was not observed. McDonald grade D strictures were found in 5 (4%) patients, out of which two required redo surgery.
conclusionLHD is a safe and feasible method of bilioenteric reconstruction with acceptable short- and long-term outcomes. It can be used as a preferred method whenever feasible.
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