ObjectiveTo assess the feasibility of the treatment of unresectable late pancreatic cancer with laparoscopic choledochojejunostomy and gastric bypass. MethodsFrom June 2000 to December 2003, laparoscopic choledochojejunostomy and gastric bypass were successfully performed in 15 patients with unresectable late pancreatic cancer. Endoscopic nosobiliary drainage (ENBD) was performed before the operation. ResultsAll procedures were completed laparoscopically. Jaundice and hepatic function of the patients were obviously improved after the bypass. Oral nutrition was recovered after operation. The mean operative time was (100±26) min (range 70-200 min); the mean operative blood loss was (60±15) ml (range 30-120 ml); the bowel function recovery was on the 3rd-5th postoperative day; the average hospital stay was (8.1±0.7) days (range 6-13 days). Incision infection ocurred in one patient. No operative complications occurred in other patients. ConclusionTreatment of unresectable late carcinoma of the pancreas with laparoscopic choledochojejunostomy and gastric bypass aided by ENBD is a minimally invasive technique with less postoperative pain，shorter hospital stay, lower procedurerelated morbidity,and better oral nutrition. The life quality of patients with late pancreatic cancer can be obviously improved.
Citation：
QIN Mingfang,WU Yu.. Treatment of Unresectable Late Pancreatic Cancer with Laparoscopic Choledochojejunostomy and Gastric Bypass （Report of 15 Cases）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(3): 201-203. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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- 1. 参考文献.
- 2. Beger HG, Link KH, Pocb B, et al. Pancreatic cancerrecent progress in diagnosis and treatment [A]. Neoptolemos JP, Lemoine NR. eds. Pancreatic Cancer Molecular and Clinical Advances [M]. 1st ed. Blackwell Science Ltd, 1996∶227.
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- 4. 倪全兴，张群华，傅德良，等. 胰头癌治愈性切除水平30 年的变化 [Ｊ]. 中华肝胆外科杂志， 2000； 6（2）∶92.
- 5. Cuschieri A, Hauer G, Berci G, et al. Laparoscopic choledochoduodenostomy [Ｊ]. Surg Laparosc Endosc， 1996; 6(5)∶318.
- 6. Kuriansky J, Saenz A, Astudillo E, et al. Simultaneous laparoscopic biliary and retrocolic gastric bypass in patients with unresectable carcinoma of the pancreas [Ｊ]. Surg Endosc, 2000; 14(2)∶179.
- 7. Targarona EM, Pera M, Martinez J, et al. Laparoscopic treatment of pancreatic disorders: diagnosis and staging, palliation of cancer and treatment of pancreatic pseudocysts [Ｊ]. Int Surg, 1996; 81(1)∶1.
- 8. de Rooij PD, Rogatko A, Brennan MF. Evaluation of palliative surgical procedures in unresectable pancreatic cancer [Ｊ]. Br J Surg, 1991; 78(9)∶1053.
- 9. Shimi S, Banting S, Cuschieri A. Laparoscopy in the management of pancreatic cancer: endoscopic cholecystojejunostomy for advanced disease [Ｊ]. Br J Surg, 1992; 79(4)∶317.
- 10. Gagner M, Pomp A, Herrera MF. Early experience with laparoscopic resections of islet cell tumors [Ｊ].Surgery, 1996; 120(6)∶1051.
