Comparative Outcomes of Roux-en-Y Hepaticojejunostomy and Hepaticoduodenostomy Following Choledochal Cyst Resection

Introduction: The two commonly practiced reconstruction methods post-excision are Roux-en-Y hepaticojejunostomy and hepaticoduodenostomy. This study aims to compare the outcomes of RYHJ and HD following choledochal cyst resection in terms of operative time, hospital stay, morbidity, and mortality. Material and Methods: A total of 60 patients diagnosed with choledochal cysts were enrolled and randomly assigned to undergo either RYHJ (Group A) or HD (Group B). Operative time, blood loss, postoperative pain, duration of hospital stay, total drain output, and complications such as bile leak, cholangitis and ileus. Statistical analysis was conducted to determine the significance of differences between the groups. Results: The mean operative time and intraoperative blood loss were significantly lower in the HDgroup (112 10.64 minutes and 91.67 9.13 ml) compared to the RYHJ group (171.67 17.83 minutes and 175.33 27.51 ml), p<0.001.Hospital stay was shorter in the HD group (8.37 1 days) versus RYHJ (12.3 0.88 days), p<0.001.Both groups exhibited comparable postoperative morbidity and no significant difference in mortality (p=0.093).Complication rates were similar, although the RYHJ group had fewer cases of ileus and obstruction.Conclusion: Both RYHJ and HD are effective reconstruction techniques post-choledochal cyst excision.HD offers advantages of shorter operative time, less intraoperative blood loss, and reduced hospital stay, while RYHJ demonstrates a slightly lower trend of postoperative obstruction-related complications.