Choledochoduodenostomy and Roux-en-Y biliary reconstruction are the methods used most frequently to reconstruct or bypass the biliary tree.

Following are the indication for biliary reconstruction:

• Benign conditions (strictures/injuries, chronic pancreatitis)

• Recurrent or persistent stone disease

• Malignant disease (unresectable carcinomas, cholagiocarcinoma, proximal lesions, mid-duct lesions)