TESA-TECHNIQUE OR SUTURE - 2 MINIMALLY IN VASIVE ALTERNATIVES TO ENDOSCOPIC STENTING IN THE TREATMENT OF OBSTRUCTIVE-JAUNDICE

Two experimental laparsocopic techniques of Roux-en-Y-choledochojejuno stomy are presented and compared in the long-term follow-up over 6 mon ths. The results were technically and functionally identical but the T ESA-technique demonstrated significantly shorter operating time and th e advantage of a completely foreign material-free anastomosis after re absorption of the PGA-stent fragments during the fourth week of follow -up. The presented laparoscopic techniques appear to offer a very reas onable therapy for non-resectable peri-ampullary tumors combining the benefits of minimally invasive endoscopic stent placement with the fun ctional results and lower readmission of conventional Roux-en-Y-choled ochojejunostomy.