Laparoscopic Double Bypass Including Cholecystojejunal and Gastrojejunal Anastomosis for Palliative Therapy

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  • 緩和的治療としての腹腔鏡下胆囊空腸バイパス術と胃空腸バイパス術同時施行例の検討

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Abstract

<p>Purpose: Palliative surgical bypass can be performed for biliary obstruction or gastric outlet obstruction due to pancreatic head tumor. The aim of the study was to investigate the safety and efficacy of laparoscopic bypass including cholecystojejunal anastomosis and gastrojejunal anastomosis (hereinafter referred to as double bypass). Methods: Short- and long-term postoperative outcomes were retrospectively evaluated in 10 patients who underwent laparoscopic double bypass between April 2014 and March 2021. Results: The median age was 73 years and the most common primary disease was pancreatic head cancer, which was present in 8 cases. Obstructive jaundice and gastric outlet obstruction were found in 3 and 7 cases, respectively, and improved in all cases after double bypass. One patient had a postoperative complication of Clavien-Dindo grade IV. The median postoperative survival time was 6.4 months, and no patients required additional postoperative treatment for restenosis of the bile duct or gastroduodenum. Conclusions: Laparoscopic double bypass is safe and could be an option for palliative treatment.</p>

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