Laparoscopic pyloric exclusion after endoscopic retrograde cholangiopancreatography perforation.
We describe a laparoscopic technique of pyloric exclusion with gastroenterostomy and common bile duct T tube insertion for obvious perforation at endoscopic retrograde cholangiopancreatography with papillotomy. The patient was operated on immediately after diagnosis of the lesion. The postoperative sequellae were very comparable to those of elective laparoscopic common bile duct exploration. We believe this approach is interesting, especially in the current era of frequent litigation.
Himpens
J
J
Department of Thoratcic, Abdominal and Minimally Invasive Surgery, Saint Blasius General Hospital, Dendermonde 9200, Belgium. jacques_himpens@hotmail.com
Rogge
F
F
Leman
G
G
Sonneville
T
T
Nelis
P
P
D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects* / Q000379:methods*; D003135:Common Bile Duct / Q000293:injuries; D005763:Gastroenterostomy / Q000379:methods; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery*; D008875:Middle Aged; D011708:Pylorus / Q000601:surgery*