Laparoscopic bilio-enteric Roux-en-Y gastrojejunostomy for unresectable pancreatic cancer
Epublication WebSurg.com, Sep 2005;05(09). URL: http://websurg.com/doi/vd01en1269
This video demonstrates the steps and approach to performing a Roux-en-Y bypass of obstructed bile duct and stomach in a patient with inoperable pancreatic cancer. The surgeon fashions a retrocolic Roux loop to anastomose with common bile duct using a single layer absorbable suture, and to the stomach using a stapled anastomosis. Finally a stapled jejuno-jejunal anastomosis is constructed. This is a complex case and requires advanced laparoscopic skills.