Gastrojejunostomy by laparoscopic technique is described by several sources. When combined with laparoscopic exploration and biliary bypass metastatic peripancreatic cancer is often staged and palliated with out an abdominal incision. This approach obviates an abdominal incision and carries the accepted benefits of minimally invasive surgery. The safety and effectiveness are maintained by adhering to the technical principals of the open procedure. It is a widely accepted method because of its low morbidity and high success rate, as well as its capacity to be performed under local anaesthesia and sedation.
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