Reparation of the parcel defect of duodenum with pediculated jejunal patch by laparoscopy. Experimental study

: The objectives were to evaluate the intraoperative aspects of the repairing by laparoscopy of a parcel duodenal defect, using a pediculated jejunal patch and to emphasize the intraoperative complications. The research has been made on 6 pigs. The pediculated jejunal patch was been achieved by excluding from the intestinal tract of a 2-4 cm segment with nutritional pedicle and the cut of intestinal tube on the anti-mesenteric border. The suture of the duodenal defect has been accomplished in one layer manner. The animals were followed 2 hours, under anesthesia. There was not intraoperative mortality, wether conversion to laparotomy. There was been a good cover of the defect, without any leakage. We did not notice intraperitoneal blood or bile. The duodenoplasty with pediculated jejunal patch is effective. The laparoscopic accomplishing of this procedure has no complications and it can be applied in clinical activity for selected cases.