TY - JOUR
T1 - Laparoscopic-endoscopic cooperative surgery for duodenal tumors
T2 - A unique procedure that helps ensure the safety of endoscopic submucosal dissection
AU - Irino, Tomoyuki
AU - Nunobe, Souya
AU - Hiki, Naoki
AU - Yamamoto, Yorimasa
AU - Hirasawa, Toshiaki
AU - Ohashi, Manabu
AU - Fujisaki, Junko
AU - Sano, Takeshi
AU - Yamaguchi, Toshiharu
PY - 2015/4/1
Y1 - 2015/4/1
N2 - 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.
AB - 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.
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U2 - 10.1055/s-0034-1390909
DO - 10.1055/s-0034-1390909
M3 - Article
C2 - 25479560
AN - SCOPUS:84964203235
VL - 47
SP - 349
EP - 351
JO - Endoscopy
JF - Endoscopy
SN - 0013-726X
IS - 4
ER -