LAPAROSCOPIC CHOLECYSTJEJUNOSTOMY AS PALLIATION FOR OBSTRUCTIVE-JAUNDICE IN INOPERABLE CARCINOMA OF PANCREAS

被引:69
作者
FLETCHER, DR
JONES, RM
机构
[1] Department of Surgery, Austin Hospital, University of Melbourne, Melbourne, 3084, Victoria, Burgundy Street
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1992年 / 6卷 / 03期
关键词
MALIGNANT OBSTRUCTIVE JAUNDICE; CARCINOMA OF PANCREAS; GASTROENTEROSTOMY; CHOLECYSTJEJUNOSTOMY; ERCP; ENDOSCOPIC STENT;
D O I
10.1007/BF02309090
中图分类号
R61 [外科手术学];
学科分类号
摘要
Malignant obstructive jaundice can be palliated by either surgical bypass, which has the advantage of long-term patency, or by stent placement, which has the advantage of initial lower morbidity and mortality. We describe a technique, laparoscopic cholecystjejunostomy, which has the advantage of both. We predict that laparoscopic surgery, which has already had a major impact on biliary stone surgery, will also have a major impact on interventional endoscopic retrograde cholangiopancreatography.
引用
收藏
页码:147 / 149
页数:3
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  • [1] Bornman P.C., Harries-Jones E.P., Tobias R., van Stiegman G., Terblanche J., Prospective controlled trial of trans hepatic biliary endo prosthesis versus bypass surgery for incurable carcinoma of the head of pancreas, Lancet, 1, pp. 69-71, (1986)
  • [2] Fletcher D.R., Percutaneous (laparoscopic) cholecystectomy and exploration of the common bile duct — the common bile duct stone reclaimed for the surgeon, Aust NZ J Surg, 61, pp. 814-815, (1991)
  • [3] Fletcher D.R., Hurley R.A., Hardy K.J., The effect of selective therapy on malignant obstructive jaundice, Med J Aust, 151, pp. 560-564, (1989)
  • [4] Hatfield A.R.M., Palliation of malignant obstructive jaundice — surgery or stent?, Gut, 31, pp. 1339-1340, (1990)
  • [5] Huang J.F., Little J.M., Malignant jaundice, Aust NZ J Surg, 57, pp. 505-509, (1987)
  • [6] Paterson-Brown S., Garden O.J., Carter D.C., Laparoscopic cholecystectomy, Br J Surg, 78, pp. 131-132, (1991)
  • [7] Reddick E.J., Olsen D., Spaw A., Baird D., Asbun H., O'Reilly M., Fisher K., Saye W., Safe performance of difficult laparoscopic cholecystectomies, Am J Surg, 161, pp. 377-381, (1991)
  • [8] Speer A.G., Cotton R.B., Russell R.C.G., Mason R.R., Hatfield A.R., Leung J.W., Macrae K.D., Houghton J., Lennon C.A., Randomised trial of endoscopic versus percutaneous stent insertion in malignant obstructive jaundice, Lancet, 2, pp. 57-62, (1987)
  • [9] Summerfield J.A., Biliary obstruction is best managed by endoscopists, Gut, 29, pp. 714-715, (1988)