CHOLEDOCHODUODENAL ANASTOMOSIS UNDER LAPAROSCOPIC CONTROL

Eleven patients underwent choledochoduodenostomy under laparoscopic co ntrol: 5 for adenocarcinoma of head of pancreas, including 2 with exte nsion into duodenum, 3 for chronic pancreatitis. 1 for gastric carcino ma with pancreatic infiltration 1 for carcinoma of ampulla and 1 for s tenosing papillitis. Mean duration of operation was 97.9 minutes and m ean hospital stay 7.8 days. No immediate or delayed postoperative comp lications were reported The advantages of this method are the marked r eduction in recovery time, especially in severely debilitated elderly patients, and the absence of postoperative pain.