Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Biliary and gastrointestinal bypass: laparoscopic possibilities]

O Schöb1, R Schmid, R Schlumpf

  • 1Klinik für Viszeralchirurgie, Universitätsspital Zürich.

Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
|January 1, 1996
PubMed
Summary

A new temporary endoluminally-stented anastomosis (TESA) technique for laparoscopic choledochojejunostomy is safe and effective. This minimally invasive approach offers functional benefits comparable to traditional surgery for peri-ampullary tumors.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Treatment-related Death in Cancer Patients Treated with Immune Checkpoint Inhibitors: A Systematic Review and Meta-analysis.

Clinical oncology (Royal College of Radiologists (Great Britain))·2016
Same author

Treatment-associated Fatigue in Cancer Patients Treated with Immune Checkpoint Inhibitors; a Systematic Review and Meta-analysis.

Clinical oncology (Royal College of Radiologists (Great Britain))·2016
Same author

Influence of type of mesh fixation in endoscopic totally extraperitoneal hernia repair (TEP) on long-term quality of life.

World journal of surgery·2013
Same author

Prospective randomized trial comparing sutured with sutureless mesh fixation for Lichtenstein hernia repair: long-term results.

Hernia : the journal of hernias and abdominal wall surgery·2011
Same author

[Ascites and hematuria after falling in an alcoholic patient].

Praxis·2010
Same author

Nutritional risk is a clinical predictor of postoperative mortality and morbidity in surgery for colorectal cancer.

The British journal of surgery·2009

Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Surgical Oncology

Background:

  • Surgical biliary bypass is superior to endoscopic stenting for non-resectable peri-ampullary tumors.
  • Laparoscopic biliary bypass combines benefits but faces technical challenges.
  • Existing instrumentation limits laparoscopic biliary bypass efficacy.

Purpose of the Study:

  • To evaluate a novel endoscopic device for rapid laparoscopic anastomosis.
  • To assess the efficacy of temporary endoluminally-stented anastomosis (TESA) in laparoscopic choledochojejunostomy.
  • To compare TESA with traditional handsewn laparoscopic anastomosis.

Main Methods:

  • Laparoscopic choledochojejunostomy techniques were evaluated in 57 female pigs.
  • 36 animals underwent TESA using absorbable stents.

Related Experiment Videos

  • Results were compared to 21 animals with laparoscopically handsewn anastomosis.

    • Main Results:

    • TESA significantly reduced operating time (105 min vs. 165 min, p < 0.01).
    • Both TESA and handsewn methods showed identical follow-up and results.
    • Minimal differences were observed in bile duct and anastomosis diameters.

    Conclusions:

    • Laparoscopic choledochojejunostomy using TESA or handsewn anastomosis is rapid and safe.
    • TESA demonstrates good bypass function over 3 and 6 months.
    • TESA offers a promising approach for non-resectable peri-ampullary tumors, merging minimally invasive benefits with functional outcomes.