Laparoscopic palliation of unresectable pancreatic cancers: Preliminary results

Marco Casaccia, Pietro Diviacco, Pietro Molinello, Lorenzo Danovaro, Mario Casaccia

Research output: Contribution to journalArticlepeer-review


Objective: To assess the feasibility of laparoscopic gastroenteric and cholecystenteric bypass procedures for palliation of inoperable cancer of the pancreas. Design: Prospective study. Setting: Teaching hospital, Italy. Subjects: 6 patients (4 men and 2 women, range 53-72 years, median 64) who presented between July 1995 and April 1997 with inoperable pancreatic cancer. Interventions: Laparoscopic gastroenterostomy for duodenal obstruction. Four patients had already had endoscopic biliary decompression. 2 patients also had laparoscopic cholecystojejunostomy for biliary obstruction at the time of the laparoscopic gastroenterostomy. Main outcome measures: Morbidity and mortality. Results: The procedure was completed laparoscopically in all patients. There was no perioperative mortality and morbidity was low (1 bleeding from the drain and 1 paralytic ileus). The median postoperative stay was 4.5 days (range 4-6). Conclusions: Laparoscopic gastroenterostomy, together with cholecystojejunostomy in selected patients with inoperable pancreatic cancer, offers a less invasive alternative to open surgery with a short hospital stay and rapid return to normal activity.

Original languageEnglish
Pages (from-to)556-559
Number of pages4
JournalEuropean Journal of Surgery, Acta Chirurgica
Issue number6
Publication statusPublished - 1999


  • Cholecystojejunostomy
  • Gastrojejunostomy
  • Laparocopy
  • Palliation
  • Pancreatic cancer

ASJC Scopus subject areas

  • Surgery

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