Laparoscopic cholecysto-jejunostomy as a palliative procedure in advanced cancer head pancrkas [a preliminary report]

ABSTRACT

Only 20% of patients with pancreatic cancer undergo curative resection. Therefore palliative treatment of pancreatic cancer assumes the utmost clinical importance. The aim of palliative treatment of pancreatic head carcinoma is to relieve the jaundice and/or duodenal obstruction. Endoscopic decompression of the obstructed biliary system can be accomplished in most cases, but the durability of that technique is not as great as that of a surgically created bypass. Many authors reported with open, hepaticojejunostomy higher morbidity and mortality rate than the former nonsurigcal methods. In order to promote long lasting palliation with low morbidity and mortality rates, minimally invasive palliative treatment using laparoscopy can be used. This study was done on 10 patients with advanced pancreatic head cancer. Cholecystojejunstomy, and jejunojenostomy were done in all patients as a palliative bypass for obstructive jundice while gastrojejunostomy was done only in 3 cases for impending duodenal obstruction. The results were encouraging as regard shorter hospital stay, no perioperative mortality and less post operative complications