Abstract
The palliative operation of periampullarytumors (PAT) varies according to the surgeons’ experience.In this study, we evaluated the effectifity and thesafety of hepaticojejunostomy (HJS) and cholecystojejunostomy(CJS) for palliation of obstructive jaundicecaused by PAT. Patients and Methods: 31 patients whohave been operated for PAT were analyzed retrospectively.HJS was performed in 15 patients and CJS in 16 patients.Pre- and postoperative biochemical parameters(bilirubine, alkaline phosphatase, ALT, AST), hospitalstay, morbidity, mortality and survival time were compared.Results: There were no statistically differences betweentwo groups with respect to the biochemical parametersand preoperative and postoperative bilirubin levels(p > 0.05). Hospital stay was shorter in HJS groupthan in the CJS group (9.3 ± 3.5 and 12.0 ± 3.24 days, respectively)(p < 0.05). The morbidity rates were 31% inCJS group and 27% in HJS group, showing no significantdifference between both groups. Wound infectionwas the only complication detected. The mean survivaltime was 235 ± 203.68 days in CJS group and 395.47 ±576.64 days in the HJS group being also not significantlydifferent between two groups. Conclusion: CJS and HJScan be safely and effectively used for palliation of obstructivejaundice in PAT. Due to patient selection, thehospital stay of HJS patients is significantly shorter thanthat of CJS patients.
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