title: Hepaticoduodenostomy for Biliary Reconstruction After Surgical Resection of Choledochal Cyst: a 25-Year Experience.
abstract: We reviewed our experience of hepaticoduodenostomy done for choledochal cyst from 1982 to 2007 at our center. The aim of the study was to evaluate the efficacy of hepaticoduodenostomy as a mode of biliary reconstruction after surgical resection of choledochal cyst, to look for any complications associated with hepaticoduodenostomy, with review of the literature. A total of 56 patients underwent hepaticoduodenostomy after surgical resection of choledochal cyst, of which 54 patients underwent primary cyst excision with hepaticoduodenostomy and 2 patients underwent redo surgery (hepaticoduodenostomy). Most of the patients had an uneventful postoperative recovery. Early complications were biliary leak in three patients which subsided on conservative treatment. Long-term complication was seen in only one patient who developed anastomotic stricture 18 years after primary resection of choledochal cyst and hepaticoduodenostomy. Hepaticoduodenostomy is a relatively safe procedure with very low complication rates. It requires a single anastomosis and is simple to perform.
authors.affiliation: Vijay Clinic, Ashwini Hospital & Research Centre, Solapur, Maharashtra India.
authors.forename: Vijay
authors.initials: V
authors.lastname: Patil
authors.affiliation: Vijay Clinic, Solapur, Maharashtra India.
authors.forename: Vijay
authors.initials: V
authors.lastname: Kanetkar
authors.affiliation: Ashwini Hospital & Research Centre, 39/12, Sarvamangal Apartments, Railway Lines, Solapur, 413001 Maharashtra India.
authors.forename: Mahesh C
authors.initials: MC
authors.lastname: Talpallikar
keywords: Choledochal cyst; Hepaticoduodenostomy; Hepaticojejunostomy