Laparoscopic-endoscopic cooperative surgery for ileal lipoma: A case report

Ryota Nakanishi, Yosuke Fukunaga, Toshiya Nagasaki, Shin Emoto, Kazuyoshi Hirayama, Satoshi Yoshioka, Yusuke Kitagawa, Satoru Honma, Tomoyuki Nagaoka, Shimpei Matsui, Tetsuro Tominaga, Hironori Minami, Shun Miyanari, Tomohiro Yamaguchi, Takashi Akiyoshi, Tsuyoshi Konishi, Yoshiya Fujimoto, Satoshi Nagayama, Shoichi Saito, Masashi Ueno

Research output: Contribution to journalArticle

Abstract

This is the first report of laparoscopic-endoscopic cooperative surgery (LECS) for an ileal tumor. A 50-year-old man was admitted to our hospital with a positive fecal occult blood test. Colonoscopy detected a submucosal tumor with intussusception located in the ileum, 10 cm oral from the Bauhin valve. On further examination, he was diagnosed with an ileal lipoma. There were no signs of malignancy. LECS was performed for the ileal tumor. After submucosal elevation by injecting saline solution, a mucosal incision was made circumferentially along the tumor. A full-thickness incision was created endoscopically and laparoscopically on the circumferential mucosal incisional line. The tumor was withdrawn intraluminally by endoscopy. The defect of the ileal wall was closed laparoscopically in an axial direction with linear staplers. Histologically, the tumor was a 25-mm ileal lipoma with negative resection margins and no malignancy.

Original languageEnglish
Pages (from-to)219-222
Number of pages4
JournalAsian journal of endoscopic surgery
Volume13
Issue number2
DOIs
Publication statusPublished - 2020 Apr 1
Externally publishedYes

Keywords

  • ileal lipoma
  • laparoscopic-endoscopic cooperative surgery (LECS)
  • small intestine

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Nakanishi, R., Fukunaga, Y., Nagasaki, T., Emoto, S., Hirayama, K., Yoshioka, S., Kitagawa, Y., Honma, S., Nagaoka, T., Matsui, S., Tominaga, T., Minami, H., Miyanari, S., Yamaguchi, T., Akiyoshi, T., Konishi, T., Fujimoto, Y., Nagayama, S., Saito, S., & Ueno, M. (2020). Laparoscopic-endoscopic cooperative surgery for ileal lipoma: A case report. Asian journal of endoscopic surgery, 13(2), 219-222. https://doi.org/10.1111/ases.12706