Laparoscopic treatment of duodenal carcinoid tumor - Wedge resection of the duodenal bulb under endoscopic control

被引:22
作者
Toyonaga, T [1 ]
Nakamura, K [1 ]
Araki, Y [1 ]
Shimura, H [1 ]
Tanaka, M [1 ]
机构
[1] Kyushu Univ, Fac Med, Dept Surg 1, Higashi Ku, Fukuoka 8128582, Japan
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1998年 / 12卷 / 08期
关键词
laparoscopic surgery; intraoperative endoscopy; duodenal carcinoid; endoscopic ultrasonography;
D O I
10.1007/s004649900786
中图分类号
R61 [外科手术学];
学科分类号
摘要
A 46-year-old man with epigastralgia and slight elevation of urinary 5-hydroxyindole acetic acid (5HIAA) was found to have a well-demarcated carcinoid tumor in the duodenal bulb. The tumor measured 8 mm in size, and showed submucosal involvement but no metastasis to the liver and regional lymph nodes. After laparoscopic exposure and lifting of the duodenal wall around the tumor, wedge resection of the duodenal bulb including the tumor was performed successfully with a laparoscopic endostapler under direct endoscopic control. The postoperative course of the patient was uneventful. Laparoscopic wedge resection of the duodenum would be an appropriate minimally invasive treatment for selected duodenal neoplasms with special preoperative assessments and intraoperative considerations.
引用
收藏
页码:1085 / 1087
页数:3
相关论文
共 4 条
[1]  
BURKE AP, 1990, ARCH PATHOL LAB MED, V114, P700
[2]  
KAPLAN EL, 1990, SURG ENDOCRINOLOGY C, P181
[3]  
Ohgami Masahiro, 1994, Digestive Surgery, V11, P64, DOI 10.1159/000172226
[4]   CARCINOID-TUMORS OF THE GASTROINTESTINAL-TRACT - EVALUATION WITH ENDOSCOPIC ULTRASONOGRAPHY [J].
YOSHIKANE, H ;
TSUKAMOTO, Y ;
NIWA, Y ;
GOTO, H ;
HASE, S ;
MIZUTANI, K ;
NAKAMURA, T .
GASTROINTESTINAL ENDOSCOPY, 1993, 39 (03) :375-383