Current status of laparoscopic biliary bypass in the management of non-resectable peri-ampullary cancer

Total Laparoscopic Roux-en-Y Cholangiojejunostomy for the Treatment of Biliary Disease

“…However, particular reports on LRCJS were rare because of difficult techniques in laparoscopic lesion resection and cholangiojejunostomy. 2,3 …”

Palliation of Malignant Obstructive Jaundice

“…Treatment options for distal CBD strictures range from definitive procedures, such as choledochojejunostomy (either alone or combined with a prophylactic gastrojejunostomy) to choledochoduodenostomy [11], cholecystojejunostomy [12], cholecystogastrojejunostomy [13], cholecystotomy [14], or insertion of T-tubes to obtain bile drainage [15]. The latter techniques have fallen largely from favor, although cholecystojejunostomy has enjoyed a resurgence with the advent of laparoscopic biliary bypass [16,17]. For hilar strictures, an intrahepatic duct anastomosis may be employed as a palliative procedure.…”

Laparoscopic perspectives for distal biliary obstruction

“…Considering poor early postoperative outcomes, surgical bypasses are actually recommended for patients with longer life expectancy, proposing instead endoscopic or percutaneous stenting to those with shorter survival perspectives [21,22]. Several types of stents are available [23,24].…”