Laparoscopic-endoscopic cooperative surgery for duodenal tumors

A unique procedure that helps ensure the safety of endoscopic submucosal dissection

Tomoyuki Irino, Souya Nunobe, Naoki Hiki, Yorimasa Yamamoto, Toshiaki Hirasawa, Manabu Ohashi, Junko Fujisaki, Takeshi Sano, Toshiharu Yamaguchi

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

A new rendezvous-style surgical technique has been developed to ensure the safety of endoscopic submucosal dissection (ESD) for duodenal tumors. The new technique, called laparoscopic-endoscopic cooperative surgery (LECS), combines ESD with laparoscopic, reinforcing, seromuscular suturing. This case series report describes how three patients with a duodenal tumor were safely treated by LECS. ESD was performed by endoscopy, followed by closure of the mucosal defect using seromuscular suturing by laparoscopy. ESD was successfully completed in all patients. Endoscopic findings after suturing revealed that the mucosal defect was closed appropriately and tightly. None of the three patients experienced delayed perforation or stricture after LECS. LECS for extraction of duodenal tumors seems to be feasible and helps to ensure the safety of ESD in the duodenum.

Original languageEnglish
Pages (from-to)349-351
Number of pages3
JournalEndoscopy
Volume47
Issue number4
DOIs
Publication statusPublished - 2015 Apr 1
Externally publishedYes

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Safety
Neoplasms
Duodenum
Laparoscopy
Endoscopy
Pathologic Constriction
Endoscopic Mucosal Resection

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Laparoscopic-endoscopic cooperative surgery for duodenal tumors : A unique procedure that helps ensure the safety of endoscopic submucosal dissection. / Irino, Tomoyuki; Nunobe, Souya; Hiki, Naoki; Yamamoto, Yorimasa; Hirasawa, Toshiaki; Ohashi, Manabu; Fujisaki, Junko; Sano, Takeshi; Yamaguchi, Toshiharu.

In: Endoscopy, Vol. 47, No. 4, 01.04.2015, p. 349-351.

Research output: Contribution to journalArticle

Irino, T, Nunobe, S, Hiki, N, Yamamoto, Y, Hirasawa, T, Ohashi, M, Fujisaki, J, Sano, T & Yamaguchi, T 2015, 'Laparoscopic-endoscopic cooperative surgery for duodenal tumors: A unique procedure that helps ensure the safety of endoscopic submucosal dissection', Endoscopy, vol. 47, no. 4, pp. 349-351. https://doi.org/10.1055/s-0034-1390909
Irino, Tomoyuki ; Nunobe, Souya ; Hiki, Naoki ; Yamamoto, Yorimasa ; Hirasawa, Toshiaki ; Ohashi, Manabu ; Fujisaki, Junko ; Sano, Takeshi ; Yamaguchi, Toshiharu. / Laparoscopic-endoscopic cooperative surgery for duodenal tumors : A unique procedure that helps ensure the safety of endoscopic submucosal dissection. In: Endoscopy. 2015 ; Vol. 47, No. 4. pp. 349-351.
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