Laparoscopy‐assisted transduodenal excision of superficial non‐ampullary duodenal epithelial tumors

Abstract

LATDE could eliminate the possibility of peritoneal or port-site seeding of tumor cells because the duodenotomy and tumor excision are performed extracorporeally. The meticulously hand-sewn closures of the mucosal defect and duodenotomy can minimize the possibility of postoperative hemorrhage and/or anastomotic leakage. LATDE is a feasible, safe, and minimally invasive treatment for patients with superficial non-ampullary duodenal epithelial tumors that have no risk of lymph node metastasis in the first and second portions of the duodenum.

Two cases of laparoscopic direct spiral closure of large defects in the second portion of the duodenum after laparoscopic endoscopic co-operative surgery

“…Other authors have also successfully used laparoscopic primary closure to close the duodenal defect after resection of duodenal tumours without major complications. [ 8 14 22 ] These studies show that laparoscopic primary closure is a feasible and safe option for the closure of duodenal defects.…”

“…The LECS technique reported by Sakon et al .,[ 8 ] endoscopy-assisted laparoscopic full thickness resection reported by Ohata et al .,[ 13 ] and laparoscopy-assisted transduodenal excision technique reported by Abe et al . [ 14 ] are technically more suitable for the resection of non-ampullary duodenal lesions. Closure of the residual defect in the case of large tumours is, however, still challenging.…”

Laparoscopy‐assisted full‐thickness resection of the duodenum for patients with gastrointestinal stromal tumor with ulceration

“…Totally laparoscopic local full‐thickness resection without a linear stapler (i.e. laparoscopic resection by opening the duodenum under aeroperitoneum and closure by intracorporeal sutures) and laparoscopic‐endoscopic cooperative surgery may pose a significant risk of peritoneal seeding of tumor cells . Tumor cells may spill into the peritoneal cavity during these procedures, leading to tumor cell seeding .…”

Laparoscopy Assisted Transduodenal Resection of a Periampullary Tumor at the Inferior Duodenal Angulus

“…Therefore, resection of a tumor near the ampulla of Vater under direct vision is a reasonable approach. Abe et al reported laparoscopy-assisted transduodenal excision of superficial non-ampullary duodenal epithelial tumors [12]. They excised tumors through a 4-cm mini-laparotomy after mobilizing the duodenum laparoscopically.…”