The anastomosis performed is usually a Roux En Y, side to side vascular type anastomosis which requires great laparoscopic endocorporeal skills. This maneuver replaces sutures with easily applied vascular clips thus enhancing our surgical performance. However, these instruments are not designed for true laparoscopic use. Mean Operating Time 1Hr. The impact of these laparoscopic procedures like their open counterparts will continue to decrease as new chemotherapeutic protocols are being introduced to treat these patients.
Surgery is clearly a limited therapeutic option.
Further evidence of effective adjuvant combined radiation and chemotherapy following curative resection of pancreatic cancer. Laparoscopic chole-cystojejunostomy for obstructing pancreatic cancer.