Role of the laparoscopic approach to biliary bypass for benign and malignant biliary diseases: a systematic review

Abstract

The laparoscopic approach to biliary bypass surgery is safe and has a high initial success rate, low reintervention rate, and low morbidity and mortality rates. Longer follow-up data and comparative studies with open surgery and endoscopic stenting are needed.

Laparoscopic hepaticojejunostomy after bile duct injury

“…Nevertheless, laparoscopic biliodigestive derivations for the treatment of benign and malignant biliary pathologies have proved to be safe and feasible [3][4][5][6]27]. Amongst these biliodigestive derivations, the largest series with longest follow-up are RYHJ for the treatment of choledochal cysts in children [28][29][30] and adults [31].…”

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

“…13 Jaundice caused by benign and malignant diseases of the biliary tract was also proved to be alleviated by laparoscopic bypass surgeries, with good effects. 14–16 …”

Initial experience with endoscopic retrograde cholangiography and endoscopic retrograde biliary stenting for treatment of extrahepatic bile duct obstruction in dogs

“…Prolonged anesthesia times (median, 3.5 hours; range, 2.4 to 6.75 hours) 16 and manipulation of the pancreatic and biliary system in unstable patients may contribute to the high morbidity and mortality rates reported with traditional rerouting surgery or open surgical stent placement. 3,[20][21][22] Frequently, biliary stenting is recommended as a bridge to more invasive biliary surgery once the patient is stabilized. 3,[20][21][22] Frequently, biliary stenting is recommended as a bridge to more invasive biliary surgery once the patient is stabilized.…”