File Download
There are no files associated with this item.
Supplementary
-
Citations:
- Appears in Collections:
Conference Paper: Laparoscopic Roux-en-Y side-to-side hepaticojejunostomy for inoperable carcinoma of pancreas (Video)
Title | Laparoscopic Roux-en-Y side-to-side hepaticojejunostomy for inoperable carcinoma of pancreas (Video) |
---|---|
Authors | |
Issue Date | 2018 |
Publisher | International Hepato-Pancreato-Biliary Association. |
Citation | The 13th World Congress of the International Hepato-Pancreato-Biliary Association, Geneva, Switzerland, 4-7 September 2018 How to Cite? |
Abstract | Background: Biliary reconstruction is a common procedure for both benign disease (e.g. choledocholithiasis, choledochal cyst) as well as malignant biliary obstruction. However, it remains a challenging procedure when performed with laparoscopic approach.
Methods: We performed laparoscopic Roux-en-Y side-to-side hepaticojejunostomy and gastrojejunostomy using 3D laparoscope for a 66-year old lady who suffered from carcinoma of pancreas with liver and portal lymph node metastasis. Patient was placed in the supine position with legs apart and a 15◦ head up tilt. Five trocars of 5-12mm were used. Roux-en-Y hepaticojejunostomy was fashioned in a side-to-side manner with continuous suture.
Results: The operative time was 280 minutes and blood loss was 50ml. Patient was able to resume diet on postoperative day 2 and she was transferred to convalescent hospital on day 5.
Conclusion: Laparoscopic biliary reconstruction is technically demanding and the use of the 3D laparoscope could help to overcome some of the difficulties associated with the procedure. Side-to-side hepaticojejunostomy is technically feasible and can be considered for those patients with portal lymph node involvement which made hilar dissection difficult. |
Persistent Identifier | http://hdl.handle.net/10722/274203 |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Dai, WC | - |
dc.contributor.author | Cheung, TT | - |
dc.date.accessioned | 2019-08-18T14:57:10Z | - |
dc.date.available | 2019-08-18T14:57:10Z | - |
dc.date.issued | 2018 | - |
dc.identifier.citation | The 13th World Congress of the International Hepato-Pancreato-Biliary Association, Geneva, Switzerland, 4-7 September 2018 | - |
dc.identifier.uri | http://hdl.handle.net/10722/274203 | - |
dc.description.abstract | Background: Biliary reconstruction is a common procedure for both benign disease (e.g. choledocholithiasis, choledochal cyst) as well as malignant biliary obstruction. However, it remains a challenging procedure when performed with laparoscopic approach. Methods: We performed laparoscopic Roux-en-Y side-to-side hepaticojejunostomy and gastrojejunostomy using 3D laparoscope for a 66-year old lady who suffered from carcinoma of pancreas with liver and portal lymph node metastasis. Patient was placed in the supine position with legs apart and a 15◦ head up tilt. Five trocars of 5-12mm were used. Roux-en-Y hepaticojejunostomy was fashioned in a side-to-side manner with continuous suture. Results: The operative time was 280 minutes and blood loss was 50ml. Patient was able to resume diet on postoperative day 2 and she was transferred to convalescent hospital on day 5. Conclusion: Laparoscopic biliary reconstruction is technically demanding and the use of the 3D laparoscope could help to overcome some of the difficulties associated with the procedure. Side-to-side hepaticojejunostomy is technically feasible and can be considered for those patients with portal lymph node involvement which made hilar dissection difficult. | - |
dc.language | eng | - |
dc.publisher | International Hepato-Pancreato-Biliary Association. | - |
dc.relation.ispartof | The World Congress of the International Hepato-Pancreato-Biliary Association | - |
dc.title | Laparoscopic Roux-en-Y side-to-side hepaticojejunostomy for inoperable carcinoma of pancreas (Video) | - |
dc.type | Conference_Paper | - |
dc.identifier.email | Dai, WC: daiwc@hku.hk | - |
dc.identifier.email | Cheung, TT: cheung68@hku.hk | - |
dc.identifier.authority | Cheung, TT=rp02129 | - |
dc.identifier.hkuros | 301225 | - |
dc.publisher.place | Geneva, Switzerland | - |