Choledochoduodenostomy: Long-Term Outcomes of a Surgical Technique in Non-Absolute Obstructions

Year 1982, Volume: 35 Issue: 4, 665 - 672, 31.12.1982

İsmail Kayabalı

Abstract

This study analyzes the long-term results of choledochoduodenostomy performed on 76 patients followed for 1 to 15 years at Ankara University Faculty of Medicine, Department of General Surgery. All patients underwent latero-lateral choledochoduodenostomy due to non-absolute biliary obstructions. The average age was 49.8 years, with 68% female and 32% male. The recovery rate was 93.5%, recurrence 1.3%, and mortality 5.2%. Major complications included postoperative pancreatitis, sepsis, and liver failure. Chronic cholangiolitis was the most common histopathological finding. Compared with literature data, the procedure is shown to be safe and effective.

Keywords

cerrahi , sonuç , duedonostomi

Koledoko-Duodenostomi: Mutlak Olmayan Tıkanmalarda Uygulanan Cerrahi Yöntemin Uzun Süreli Sonuçları

Abstract

Bu çalışma, Ankara Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniği’nde 1 ila 15 yıl izlenmiş 76 hastada koledoko-duodenostomi operasyonunun uzak sonuçlarını incelemektedir. Olgular mutlak olmayan safra yolu tıkanmaları nedeniyle seçilmiş ve tamamında latero-lateral koledoko-duodenostomi uygulanmıştır. Ortalama yaş 49,8 olan hastaların %68’i kadın, %32’si erkektir. Şifa oranı %93,5 olup, nüks oranı %1,3; mortalite ise %5,2 olarak saptanmıştır. Morbiditeye neden olan komplikasyonlar arasında postoperatif pankreatit, sepsis ve karaciğer yetersizliği öne çıkmaktadır. Histopatolojik incelemelerde ise en sık görülen bulgu kronik kolanjiyolit olmuştur. Literatürle karşılaştırmalı olarak, yöntemin güvenli ve etkili olduğu vurgulanmaktadır.

Keywords

cerrahi , sonuç , duedonostomi

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