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Single-Incision Laparoscopic Biliary Bypass for Malignant Obstructive Jaundice

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Biliary bypass is a major management of resolution to malignant obstructive jaundice. Laparoscopic approach is an ideal alternative to open surgery with the less recurrence compared with endoscopic stenting. Single incision surgery approach has not been applied to biliary bypass due to technical challenge. The aim of this study is to evaluate the safety and feasibility of single-incision laparoscopic biliary bypass. Eighteen patients with periampulla tumor underwent single-incision laparoscopic cholecystojejunostomy. The preoperation and postoperation data were retrospectively analyzed. All the cases underwent surgery successfully without conversion to open or traditional laparoscopic surgery. The operation time and blood loss were 172.8 min and 101.1 ml, respectively. The postoperative hospital stay was 9.9 days. The jaundice was released, and the liver function was improved after the surgery. The mean survival of the patients was 9.5 months. The single-incision laparoscopic cholecystojejunostomy is safe and feasible with acceptable short-term outcomes in selected patients. The benefits still need to be evaluated in comparative study.

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The paper has never been presented on any meeting; No author has any financial interest.

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Authors and Affiliations

  1. Shengjing Hospital of China Medical University, 36 Sanhao street, Heping District, Shenyang City, 110004, China

    Hong Yu, Shuodong Wu, Xiaopeng Yu, Jinyan Han & Dianbo Yao

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  1. Hong Yu
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  2. Shuodong Wu
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  3. Xiaopeng Yu
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  4. Jinyan Han
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Correspondence to Shuodong Wu.

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Yu, H., Wu, S., Yu, X. et al. Single-Incision Laparoscopic Biliary Bypass for Malignant Obstructive Jaundice. J Gastrointest Surg 19, 1132–1138 (2015). https://doi.org/10.1007/s11605-015-2777-4

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  • DOI: https://doi.org/10.1007/s11605-015-2777-4

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