[Experimental laparoscopic bypass of bile duct and duodenal obstruction]

Publication

[Experimental laparoscopic bypass of bile duct and duodenal obstruction]

Journal Paper/Review - Oct 15, 1994

Schöb O, Schlumpf R, Schmid R, Meyenberger Christa, Largiadèr F

Units

Gastroenterology/Hepatology

PubMed

7973508

Citation

Schöb O, Schlumpf R, Schmid R, Meyenberger C, Largiadèr F. [Experimental laparoscopic bypass of bile duct and duodenal obstruction]. Schweizerische medizinische Wochenschrift 1994; 124:1813-20.

Type

Journal Paper/Review (Deutsch)

Journal

Schweizerische medizinische Wochenschrift 1994; 124

Publication Date

Oct 15, 1994

Issn Print

0036-7672

Pages

1813-20

Brief description/objective

In order to avoid laparotomy in patients with biliary and/or gastric outlet obstruction due to inoperable carcinoma of the pancreas, the feasibility of minimal invasive double bypass operation was evaluated in 20 pigs. In model A (n = 10) biliary bypass was performed using a Roux-en-Y loop for cholecystojejunostomy after previous choledochal clip occlusion. In mod-el B (n = 10) an additional Roux-en-Y loop was placed to the stomach after transection and closure of the duodenum. Results: Model A showed functioning biliary bypass with patent and leakfree anastomoses at necropsy at day 28. In model B nine of ten had a normal functioning double bypass. One pig was sacrificed at day 6 due to necrotic Roux-en-Y loop. Conclusions: Laparoscopic biliary and gastroenteral bypass is feasible and safe. Laparoscopic Roux-en-Y loop technique considerably widens the spectrum of minimal invasive visceral surgery.