the difference in oil/water lines between the ct20b (or a twin entry ct26) and what you have now, are due to the different positions of the turbo. The st165 turbo sits a little higher, due to the exhaust manifold, so with an st185 or sw20 manifold the lines wont properly match up to the turbo.
If you installed the turbo in the same position as it currently is, then you wouldn't have to modify the oil or water lines, just swap them from your turbo onto the ct20b.
In fact, there is no good reason not to use you existing exhaust manifold. The ct20b will bolt up to it, the main problem is just the twin entry vs single entry, so you could knife edge the divider on the ct20b exhaust housing to make the transition from the single to twin smoother.
You would possibly also have to clock the compressor housing if you did this. It's not difficult but the problem is that you'll have to make up a bracket to hold the wastegate actuator properly, otherwise it might not function correctly. That's not a big deal, but could be a pain.
You may also have to clock the exhaust housing - but that is easy
