Local resection by combined laparoendoscopic surgery for duodenal gastrointestinal stromal tumor

Kiyokazu Nakajima, Motohiko Kato, Toshirou Nishida, Makoto Yamasaki, Tsutomu Nishida, Shusaku Tsutsui, Hideharu Ogiyama, Shunsuke Yamamoto, Takuya Yamada, Masaki Mori, Yuichiro Doki, Norio Hayashi

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Combined laparoendoscopic surgery is a novel surgical method which consists of both endoscopic surgery from inside the gastrointestinal tract and laparoscopic surgery from the outside. We report a case of duodenal GIST, in which combined laparoendoscopic local resection was attempted. The lesion was resected endoscopically using endoscopic submucosal dissection technique under laparoscopic assistance. Laparoscope was used for originating the orientation of the tumor, intra-operative EUS, and monitoring serosal injury from the peritoneal cavity. Postoperative hemorrhage occurred; however, precise orientation of the lesion helped us to manage the patient with minimal invasive reoperation. And thus, the bowel integrity was completely preserved, by avoiding segmental duodenal resection and pancreaticoduodenectomy. This novel, less invasive surgical procedure may become an attractive option for the lesions originating in the anatomically challenging portion of the GI tract for endoscopic or laparoscopic surgery alone.

Original languageEnglish
Article number645609
JournalDiagnostic and Therapeutic Endoscopy
DOIs
Publication statusPublished - 2011 Oct 11
Externally publishedYes

Fingerprint

Gastrointestinal Stromal Tumors
Laparoscopy
Gastrointestinal Tract
Laparoscopes
Postoperative Hemorrhage
Pancreaticoduodenectomy
Peritoneal Cavity
Reoperation
Wounds and Injuries
Neoplasms
Endoscopic Mucosal Resection

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Nakajima, K., Kato, M., Nishida, T., Yamasaki, M., Nishida, T., Tsutsui, S., ... Hayashi, N. (2011). Local resection by combined laparoendoscopic surgery for duodenal gastrointestinal stromal tumor. Diagnostic and Therapeutic Endoscopy, [645609]. https://doi.org/10.1155/2011/645609

Local resection by combined laparoendoscopic surgery for duodenal gastrointestinal stromal tumor. / Nakajima, Kiyokazu; Kato, Motohiko; Nishida, Toshirou; Yamasaki, Makoto; Nishida, Tsutomu; Tsutsui, Shusaku; Ogiyama, Hideharu; Yamamoto, Shunsuke; Yamada, Takuya; Mori, Masaki; Doki, Yuichiro; Hayashi, Norio.

In: Diagnostic and Therapeutic Endoscopy, 11.10.2011.

Research output: Contribution to journalArticle

Nakajima, K, Kato, M, Nishida, T, Yamasaki, M, Nishida, T, Tsutsui, S, Ogiyama, H, Yamamoto, S, Yamada, T, Mori, M, Doki, Y & Hayashi, N 2011, 'Local resection by combined laparoendoscopic surgery for duodenal gastrointestinal stromal tumor', Diagnostic and Therapeutic Endoscopy. https://doi.org/10.1155/2011/645609
Nakajima, Kiyokazu ; Kato, Motohiko ; Nishida, Toshirou ; Yamasaki, Makoto ; Nishida, Tsutomu ; Tsutsui, Shusaku ; Ogiyama, Hideharu ; Yamamoto, Shunsuke ; Yamada, Takuya ; Mori, Masaki ; Doki, Yuichiro ; Hayashi, Norio. / Local resection by combined laparoendoscopic surgery for duodenal gastrointestinal stromal tumor. In: Diagnostic and Therapeutic Endoscopy. 2011.
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