Tomoyuki Yamaguchi, MD, Hiroyuki Yoshitake, MD, Kazuhiro Yamada, MD, Tomoya Takami, MD, Hiroshi Shintani, MD, Kotaro Hatano, MD, Naoki Kataoka, MD, Masahumi Tomita, MD. Kishiwada Tokushukai Hospital
Introduction: Laparoscopic-endoscopic cooperative surgery (LECS) is a minimally invasive surgical technique that combines the advantages of laparoscopic surgery and endoscopic treatment. LECS has been developed for the treatment of gastric submucosal tumors and can be applied to superficial duodenal tumors. Here, we describe the use of LECS for duodenal mucosal tumors.
Methods: Forty lesions (35 patients) were successfully resected en bloc, but one case was partially resected and needed additional operation (pancreaticoduodenectomy). The median operative time was 281 min. The median postoperative hospital stay was 12.6 d. Histological examination of the tumors revealed 27 carcinomas, 12 adenomas, and 1 carcinoid. Complications occurred in 8 (23%) patients, viz., SSI (two patients), pancreatic fistula (two patients), bleeding (two patients), passing failure (one patient), and cholangitis (one patient). However, no severe postoperative complications (Clavien–Dindo classification grade 3 or higher) were reported in these cases.
Conclusion: Our cases showed that duodenal tumor resection using LECS enables curability through a minimally invasive procedure that offers the advantages of both laparoscopic surgery and endoscopic treatment.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86642
Program Number: P705
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster