Laparoscopic Biliary Bypass with an Autologous Tubed Gastric Flap: A Pilot Study
Prinya Akranurakkul MD*, Somkiat Wattanasirichaigoon MD*, Ekkit Surakarn MD*
Affiliation : *Department of Surgery, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand
Although biliary bypass technique which used jejunum as a conduit is a common procedure in open technique of hepatobiliary tract surgery, its complicated technique made it is not feasible for laparoscopic surgery. Before 1960, stomach was used vastly for biliary drainage but late stricture which resulted from too much tension along suture line made it not much acceptable. The authors report surgical technique of laparoscopic gastric tube flap for biliary bypass in order to made it practicable for laparoscopic surgery.
Keywords : Laparoscopic surgery, Biliary bypass technique, Gastric tube flap, Biliary-gastric bypass, Animal experimental model
