Casaccia M, Diviacco P, Molinello P, Danovaro L, Casaccia M
Department of Emergency Surgery, University of Genoa, Italy.
Surg Laparosc Endosc. 1998 Oct;8(5):331-4.
The aim of this study was to assess the feasibility of laparoscopic gastroenteric and cholecystenteric bypass procedures for palliation of inoperable cancer of the pancreas. Between July 1994 and January 1996, five patients underwent laparoscopic gastroenterostomy for duodenal obstruction due to pancreatic cancer. There were four men and one woman, ranging in age from 53 to 72 years (median 63). Four patients already had endoscopic biliary decompression. One patient underwent laparoscopic cholecystojejunostomy for biliary obstruction at the time of the laparoscopic gastroenterostomy. The procedure was completed laparoscopically in all patients. There was no perioperative mortality, and the morbidity was low. The median post-operative stay was 4 days (range, 4-6). Laparoscopic gastroenterostomy associated with cholecystojejunostomy in selected cases offers a less invasive alternative than open surgery, with a shorter hospital stay and more rapid return to normal activity.
本研究的目的是评估腹腔镜胃肠和胆囊肠吻合术缓解无法切除的胰腺癌的可行性。1994年7月至1996年1月期间，5例因胰腺癌导致十二指肠梗阻的患者接受了腹腔镜胃肠造口术。其中有4名男性和1名女性，年龄在53至72岁之间（中位数为63岁）。4例患者已接受内镜下胆道减压。1例患者在腹腔镜胃肠造口术时因胆道梗阻接受了腹腔镜胆囊空肠吻合术。所有患者的手术均通过腹腔镜完成。围手术期无死亡病例，发病率较低。术后中位住院时间为4天（范围为4至6天）。在特定病例中，腹腔镜胃肠造口术联合胆囊空肠吻合术比开放手术提供了一种侵入性较小的选择，住院时间更短，恢复正常活动更快。
