Document Type : Original Article
Authors
1
Department of Hepatobiliary surgery, Faculty of Medicine, Minia University, Minia, Egypt
2
Department of General surgery, Faculty of Medicine, Minia University
3
Department of Hepatobiliary surgery, Faculty of Medicine, Minia university, Minia, Egypt
4
Department of General surgery, Faculty of Medicine, Minia University, Minia, Egypt
Abstract
Background Hepaticojejunostomy (HJ) is a widespread procedure used to establish continuity to bypass an obstructed bile duct, as well as after resection performed due to various diseases and injuries. The complications of HJ including leakage and stricture formation, imposing a challenge in biliary surgery.
Objectives The current study aims to evaluate the role of stenting in bilio-enteric anastomosis in reducing morbidity like biliary leakage in comparison with non-stented cases.
Subjects and methods A prospective randomized comparative study was conducted on 40 patients undergoing bilio-enteric anastomosis from August 2020 to February 2023, in the Hepato-Pancreato-Biliary Unit, General Surgery Department, Minia University Hospital, Minia, Egypt.
Results 20 patients (50%) of the study sample were stented; the size of the stent was chosen according to the intra-operative size of the common bile duct (CBD); the remaining 20 patients (50%) were non-stented. There was no statistically significant difference between stenting/ non-stenting in intra-operative blood loss or operative time (p=0.067, 0.758, respectively). Post-operative follow-up showed a significant difference between stented and non-stented patients in drain bile content (p-value=0.039), post-operative wound complications (P-value= 0.028), as well as postoperative fever (P-value= 0.044). Stented patients also had shorter hospital stay and a lower risk of ICU admission (P-value = 0.0434, and 0.049, respectively.
Conclusion By taking into consideration that postoperative complications were higher in non-stented patients with a longer hospital stay as well as a higher risk of ICU admission, stenting is superior to non-stenting in patients undergoing bilio-enteric anastomosis (Hepaticojejunostomy).
Keywords
Main Subjects
)
View on SCiNiTO