Laparoscopic gastro- and hepaticojejunostomy for palliation of pancreatic cancer

Rothlin, M; Schöb, O.; Weber, Matthias

doi:10.1007/s004649901174

Cited by 64 publications

(47 citation statements)

References 20 publications

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“…Laparoscopic biliary and digestive bypasses can be performed requiring highly experienced surgeons [35,36]. The debate concerning the best palliative treatment of biliary and duodenal obstruction is not resolved [37].…”

Section: Discussionmentioning

confidence: 99%

Staging of pancreatic head adenocarcinoma with spiral CT and endoscopic ultrasonography: An indirect evaluation of the usefulness of laparoscopy

et al. 2004

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Section: Discussionmentioning

confidence: 99%

Staging of pancreatic head adenocarcinoma with spiral CT and endoscopic ultrasonography: An indirect evaluation of the usefulness of laparoscopy

et al. 2004

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“…29 Minimally invasive biliary and gastrointestinal double bypass was first reported by Rhodes et al 30 in 1995, wherein they performed laparoscopic cholecystojejunostomy and gastroenterostomy. In addition, Röthlin et al 31 described the first laparoscopic double bypass with hepaticojejunostomy. In this study, they compared laparoscopic bypass cases with matched open bypass cases; results showed that laparoscopic bypass significantly decrease duration of hospital stay and reduce morphine use.…”

Section: Minimally Invasive Approach Of Biliary and Gastrointestinal mentioning

confidence: 99%

Surgical management of the cases with both biliary and duodenal obstruction

Miyasaka

Ohtsuka

Velasquez

et al. 2018

Int J Gastrointest Interv

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Endoscopic management is presently the recommended first-line of treatment for biliary strictures. However, surgery still has an important role especially for biliary obstruction (BO) with duodenal obstruction. Even though endoscopic treatment for concurrent BO and gastric-outlet obstruction has been proposed, it is still not widespread. Duodenal obstruction is often associated with malignant BO which makes endoscopic treatment more challenging. Biliary and gastrointestinal double bypass with Roux-en-Y hepaticojejunostomy and gastrojejunostomy is the most common surgical intervention for malignant biliary and gastric-outlet obstruction. A variety of procedures of biliary bypass and gastrointestinal bypass have been reported. According to several studies, mortality rates range from 0% to 7%, while morbidity rates range from 3% to 50%. Higher morbidity was observed in symptomatic patients caused by the disease. Most common morbidity after double bypass was delayed gastric emptying. Recurrence of BO and gastric-outlet obstruction was less frequently seen after surgical bypass compared to after endoscopic treatment. Minimally invasive approach has been applied to double bypass. Studies showed that laparoscopic double bypass has a shorter hospital stay and reduced postoperative pain; however, due to its technical demand, it is still presently an uncommon procedure. Robotic bypass surgery may resolve this issue in the future. Further analyses of outcomes of both surgical and endoscopic treatments are necessary to establish better and suitable palliation options for concurrent biliary and duodenal obstruction caused by unresectable malignant tumors.

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“…Many patients with periampullary cancer have symptoms associated with biliary or gastric outlet obstruction, and traditionally these patients have been managed by open bypass surgery. Recently, minimally invasive laparoscopic approaches to gastric and biliary bypass have been successfully applied, and have been shown by non-randomized comparative studies to be safer and to be associated with reduced periods of hospitalization than open surgery (Schwarz & Beger, 2000;Bergamaschi et al, 1998;Rothlin et al, 1999;Rhodes et al, 1995).…”

Section: Other Miscellaneous Pancreatectomy and Palliative Proceduresmentioning

confidence: 99%

Laparoscopic Pancreatic Surgery

Jang¹

2012

Advances in Laparoscopic Surgery

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Laparoscopic gastro- and hepaticojejunostomy for palliation of pancreatic cancer

Abstract: Our preliminary experience strongly suggests that laparoscopic palliation can reduce the three major drawbacks of open bypass surgery-i.e., high morbidity, high mortality, and long hospital stay.

Cited by 64 publications

References 20 publications

Staging of pancreatic head adenocarcinoma with spiral CT and endoscopic ultrasonography: An indirect evaluation of the usefulness of laparoscopy

Staging of pancreatic head adenocarcinoma with spiral CT and endoscopic ultrasonography: An indirect evaluation of the usefulness of laparoscopy

Surgical management of the cases with both biliary and duodenal obstruction

Laparoscopic Pancreatic Surgery

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