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[Problems of choledochoduodenostomy (author's transl)]
Langenbecks Archiv Fur Chirurgie
|January 1, 1980
Summary
Choledochoduodenostomy surgery was performed on 101 patients, with outcomes varying based on disease type. Mortality rates were higher for malignant conditions compared to benign ones.
Area of Science:
- Gastroenterology and Surgical Oncology
- Hepatobiliary Surgery
Context:
- Choledochoduodenostomy is a surgical procedure connecting the common bile duct and the duodenum.
- This study analyzes outcomes in a cohort of 101 patients undergoing this procedure.
Purpose:
- To evaluate the outcomes and mortality rates of choledochoduodenostomy.
- To assess the impact of underlying benign versus malignant diseases on patient outcomes.
Summary:
- The study included 101 patients, with the majority (74) having benign choledochus or papilla issues.
- Malignant conditions included choledochus carcinoma (6), pancreatic tumors (19), and gastric carcinomas (2).
- Postoperative mortality was 8.9% for malignant cases and 2.7% for benign cases, with an average patient age of 72 and over 60% presenting with marked icterus.
Impact:
- Provides data on the efficacy and risks of choledochoduodenostomy in diverse patient populations.
- Highlights the differential outcomes between benign and malignant etiologies, informing surgical decision-making.
- Contributes to understanding the perioperative considerations for elderly patients with significant jaundice undergoing biliary-enteric anastomosis.