Comparison of clinical outcome of |two types of choledochojejunostomy
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R 657.4

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    Abstract:

    Objective:To compare the therapeutic effects of modified  loop choledochojejunostomy and  the Roux-en-Y choledochojejunostomy.
    Methods:Clinical data of 39 cases of modified loop choledochojejunostomy (ML) and 45 cases of Roux-en-Y choledochojejunostomy (R-Y) were analysed and compared, The patients of the 2 groups were followed-up for 1 to 2 years. The operation time, time to recovery of bowel function,  serum level of total bilirubin and the morbidity  of cholangitis between the 2 groups were compared.
    Results:The postoperative serum level of total bilirubin decreased to the same level in both groups (P>0.05). Im ML grpup and R-Y group, the operation time were (53±11.2)min and (72.4±9.5)min, the time to recovery of bowel flatus (79.2±4.4)h and(93±6.5)h, and the morbidity  of cholangitis were 5.1% and 13.3%, srespectiveely. The observed indexes in the ML group were statistically better than those  in the R-Y group (P<0.05).
    Conclusions:The short-term and long-term therapeutic effects of modified loop choledochojejunostomy are good; the modified operation can be the method of choice for choledochojejunostomy.

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ZHANG Zhiwei, YIN Changsheng, JING Xinbin, JIANG Zhijie, CHEN Benwen. Comparison of clinical outcome of |two types of choledochojejunostomy[J]. Chin J Gen Surg,2011,20(3):276-278.
DOI:10.7659/j. issn.1005-6947.2011.03.016

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History
  • Received:November 10,2010
  • Revised:February 14,2011
  • Adopted:
  • Online: March 15,2011
  • Published: