Laparoscopic Versus Open Roux-en-Y Choledochojejunostomy: A Single-institute Experience With Literature Review

Abstract

Objectives:The current clinical study aims to compare the clinical efficacy of open choledochojejunostomy (OCJ) and laparoscopic choledochojejunostomy (LCJ) in patients with benign and malignant biliary tract disorders.Patients and Methods: The clinical data of 40 consecutive patients who underwent either OCJ or LCJ from January 2015 to February 2017 were retrospectively analyzed. The clinical parameters analyzed include baseline information, intraoperative characteristics, and postoperative clinical outcomes. The patients were divided into OCJ group and LCJ group based on the surgical approach performed.Results: Of 40 patients during the study period, 15 underwent LCJ and the remaining 25 patients underwent OCJ. The mean operative time was slightly longer in the LCJ group (323.53 ± 150.30 min) than the OCJ group (295.38 ± 130.34 min) (P = 0.945); intraoperative blood loss in 2 groups were similar (179.17 vs. 164.67 mL, P = 0.839). Although hospital stay was significantly shorter in the LCJ group (8.33 ± 2.1 d) compared with the OCJ group (19.24 ± 4.2 d) (P < 0.001). Biliary leakage is the most common complication after OCJ; no complication was experienced in the LCJ group.Conclusions: LCJ is a feasible and safe option for patients undergoing choledochojejunostomy.