Non-exposed full thickness resection in laparoscopic and endoscopic cooperative surgery for duodenal neuroendocrine tumor

Abstract Text Laparoscopic and endoscopic cooperative surgery (LECS) can be offered for the early stage duodenal neuroendocrine tumors (d-NETs) to secure the surgical margin but has the potential risk for tumor spreading into the abdomen and delayed perforation [1] [2] [3] [4] [5] [6]. We report a case of a 76-year-old patient with a low-grade d-NET in the duodenal bulb who underwent endoscopic full thickness resection (EFTR) without exposing duodenal lumen in LECS. After mobilization of the duodenum, seromuscular suturing was performed with hemostat cloths placement on the pigmented serosa laparoscopically. EFTR was completed by identifying the serosa with the hemostats. The patient was discharged from our hospital uneventfully. Histology identified serosal mesothelium beneath the tumor. Duodenal LECS with non-exposed technique is oncologically safe and feasible for early-stage d-NETs.

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/f91f217c-7256-440a-bd53-0f3c4ae96a70/Uploads/16849_D-LECS_with%20non-exposed%20technique%20(lower%20quality).mp4

Publication History

Article published online:
27 March 2025

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