Safety and feasibility of laparoscopic and endoscopic cooperative surgery for duodenal neoplasm: A retrospective multicenter study

Souya Nunobe, Motonari Ri, Kimiyasu Yamazaki, Masanao Uraoka, Ken Ohata, Iwao Kitazono, Masanori Terashima, Yukinori Yamagata, Satoshi Tanabe, Nobutsugu Abe, Toshikatsu Tsuji, Keiko Niimi, Hirofumi Kawakubo, Tomoya Tsukada, Shuji Kitashiro, Naoki Ishizuka, Naoki Hiki

Research output: Contribution to journalReview articlepeer-review

2 Citations (Scopus)

Abstract

Background A delayed perforation can often occur after endoscopic treatment for duodenal neoplasms and may be fatal due to leakage of pancreatic and bile juices. We aimed to evaluate the feasibility and safety of laparoscopic and endoscopic cooperative surgery for duodenal neoplasms (D-LECS) in a multicenter, retrospective study. Methods The clinical characteristics and surgical outcomes of 206 patients with duodenal neoplasms in whom D-LECS had initially been attempted at one of 14 institutions were reviewed retrospectively. Results Of the 206 patients, 63 (30.6%), 128 (62.1%), and 15 patients (7.3%) had lesions at the bulb, second portion, and third portion of the duodenum, respectively. The rates of en bloc and R0 resections during D-LECS were 96.1% and 95.1%, respectively. Intraoperative and delayed perforations occurred in 10 (4.9%) and 5 patients (2.4%), respectively. No cases of recurrence were observed. Surgical duration of ≥180 minutes was an independent risk factor for postoperative complications. Conclusions The results revealed that D-LECS was performed with oncological safety and technical feasibility.

Original languageEnglish
Pages (from-to)1065-1068
Number of pages4
JournalEndoscopy
Volume53
Issue number10
DOIs
Publication statusPublished - 2021 Oct 1

ASJC Scopus subject areas

  • Gastroenterology

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