Postoperative outcomes of hepaticojejunostomy for benign biliary diseases. | ||
| The Egyptian Journal of Surgery | ||
| Volume 43, Issue 4, October 2024, Pages 1344-1350 PDF (551.53 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EJSUR.2024.286801.1063 | ||
| Authors | ||
| Ahmed M. Ghanem* ; Mohamed Amer; Waleed M. Ghareeb | ||
| Department of General Surgery, Faculty of Medicine, Suez Canal University, Suez Canal, Egypt | ||
| Abstract | ||
| Background: Roux-en-Y hepaticojejunostomy (RYHJ) is currently considered the definitive treatment for iatrogenic bile duct injuries. This work aimed to assess the medical indications for HJ and analyze the postoperative complications of HJ. Patients and Methods: This prospective observational was conducted on 33 patients who underwent HJ for various benign diseases. The patients were divided into two groups: Patients with complications (n=19) and no complications group (n=14). Results: Patients with complications had a longer mean hospital stay and a higher average blood loss compared with those without complications. The logistic regression analysis identifies several variables potentially impacting the likelihood of postoperative complications, though none achieve statistical significance under the traditional P value threshold of 0.05. Age (P=0.075) and diabetes (P=0.078) approach significance, suggesting their possible influence on complication rates. Conclusion: Our study concluded that age and diabetes demonstrate higher associations with complication rates. Chest infections is the most common postoperative complication. In the group with complications exhibited elevated bilirubin levels greater than 2 mg/dl. | ||
| Keywords | ||
| Benign biliary diseases; complications; hepaticojejunostomy; outcomes | ||
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