Laparoscopic hepaticoduodenostomy (LHD) has emerged as a viable alternative to traditional Roux-en-Y hepaticojejunostomy for bilioenteric reconstruction. In a study involving 125 patients, LHD was successfully performed in 91.5% of cases with cholangiocarcinoma and 54.9% for benign biliary strictures. Key metrics included a mean operative time of 210 minutes, a hospital stay averaging six days, and an 8% incidence of postoperative bile leaks. Overall, LHD demonstrated safe, feasible, and acceptable outcomes.
Journal Article by Choudhary D, Vageesh BG, Javed A and Agarwal AK in Surg Endosc
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