Laparoscopic Resection of a Brunner’s Gland Hamartoma of the Duodenum

Konrad Sarosiek, MD, John Stem, MD, Francesco Palazzo, MD, Michael Pucci, MD. Thomas Jefferson University Hospital

Our team is presenting a video of a 49 yo male who originally presented to an outside hospital after an episode of syncope secondary to a bleeding duodenal mass. Using a laparoscopic approach, we demonstrate the mobilization of the duodenum, longitudinal opening of the duodenum and pylorus, and excision of a 6 cm Brunner Gland Hamartoma. The closure of the duodenum and pylorus is performed with a Heineke-Mikulicz pyloroplasty which is followed by a leak test.

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