Laparoscopic biliary bypass for inoperable pancreatic cancer.

Laparoscopic biliary bypass provides an attractive alternative to endoscopic stenting for nonresectable pancreatic carcinoma. Laparoscopic gastroenterostomy may be added if duodenal obstruction is present. These simple palliative procedures achieve long-term relief of jaundice and duodenal obstruction. The laparoscopic approach allows early discharge from the hospital with minimal incisional pain, both of which are highly beneficial to patients with limited lifespan.