Endoscopy-assisted laparoscopic submucosal dissection for a duodenal epithelial tumor

Yasuhiro Miyazaki; Shuji Takiguchi; Yukinori Kurokawa; Tsuyoshi Takahashi; Yasunari Fukuda; Makoto Yamasaki; Tomoki Makino; Koji Tanaka; Masaaki Motoori; Yutaka Kimura; Kiyokazu Nakajima; Masaki Mori; Yuichiro Doki

doi:10.1111/ases.12675

Endoscopy-assisted laparoscopic submucosal dissection for a duodenal epithelial tumor

Yasuhiro Miyazaki, Shuji Takiguchi, Yukinori Kurokawa, Tsuyoshi Takahashi, Yasunari Fukuda, Makoto Yamasaki, Tomoki Makino, Koji Tanaka, Masaaki Motoori, Yutaka Kimura, Kiyokazu Nakajima, Masaki Mori, Yuichiro Doki

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

We present the case of a 46-year-old obese woman with a 3.5-cm adenoma in the descending part of the duodenum who was treated with a totally laparoscopic approach. The preoperative examination revealed a pedunculated superficial tumor on the side of pancreas from the inferior duodenal angulus to 5 cm proximal to the papilla that was associated with massive blood flow. We chose not to perform endoscopic submucosal dissection, pancreaticoduodenectomy, or transduodenal tumor excision with laparotomy for this obese patient because of the poor exposure, risk of bleeding, and substantial invasiveness. We performed endoscopy-assisted laparoscopic submucosal dissection as a novel laparoscopic-endoscopic cooperative surgical approach in this patient. This surgery was surgically and oncologically safe.

Original language	English
Pages (from-to)	461-464
Number of pages	4
Journal	Asian journal of endoscopic surgery
Volume	12
Issue number	4
DOIs	https://doi.org/10.1111/ases.12675
Publication status	Published - Oct 1 2019
Externally published	Yes

All Science Journal Classification (ASJC) codes

Medicine(all)

Access to Document

10.1111/ases.12675

Cite this

@article{65ff891adccc40cba28b41f55fc8c4f6,

title = "Endoscopy-assisted laparoscopic submucosal dissection for a duodenal epithelial tumor",

abstract = "We present the case of a 46-year-old obese woman with a 3.5-cm adenoma in the descending part of the duodenum who was treated with a totally laparoscopic approach. The preoperative examination revealed a pedunculated superficial tumor on the side of pancreas from the inferior duodenal angulus to 5 cm proximal to the papilla that was associated with massive blood flow. We chose not to perform endoscopic submucosal dissection, pancreaticoduodenectomy, or transduodenal tumor excision with laparotomy for this obese patient because of the poor exposure, risk of bleeding, and substantial invasiveness. We performed endoscopy-assisted laparoscopic submucosal dissection as a novel laparoscopic-endoscopic cooperative surgical approach in this patient. This surgery was surgically and oncologically safe.",

author = "Yasuhiro Miyazaki and Shuji Takiguchi and Yukinori Kurokawa and Tsuyoshi Takahashi and Yasunari Fukuda and Makoto Yamasaki and Tomoki Makino and Koji Tanaka and Masaaki Motoori and Yutaka Kimura and Kiyokazu Nakajima and Masaki Mori and Yuichiro Doki",

year = "2019",

month = oct,

day = "1",

doi = "10.1111/ases.12675",

language = "English",

volume = "12",

pages = "461--464",

journal = "Asian journal of endoscopic surgery",

issn = "1758-5902",

publisher = "Wiley Blackwell",

number = "4",

}

TY - JOUR

T1 - Endoscopy-assisted laparoscopic submucosal dissection for a duodenal epithelial tumor

AU - Miyazaki, Yasuhiro

AU - Takiguchi, Shuji

AU - Kurokawa, Yukinori

AU - Takahashi, Tsuyoshi

AU - Fukuda, Yasunari

AU - Yamasaki, Makoto

AU - Makino, Tomoki

AU - Tanaka, Koji

AU - Motoori, Masaaki

AU - Kimura, Yutaka

AU - Nakajima, Kiyokazu

AU - Mori, Masaki

AU - Doki, Yuichiro

PY - 2019/10/1

Y1 - 2019/10/1

N2 - We present the case of a 46-year-old obese woman with a 3.5-cm adenoma in the descending part of the duodenum who was treated with a totally laparoscopic approach. The preoperative examination revealed a pedunculated superficial tumor on the side of pancreas from the inferior duodenal angulus to 5 cm proximal to the papilla that was associated with massive blood flow. We chose not to perform endoscopic submucosal dissection, pancreaticoduodenectomy, or transduodenal tumor excision with laparotomy for this obese patient because of the poor exposure, risk of bleeding, and substantial invasiveness. We performed endoscopy-assisted laparoscopic submucosal dissection as a novel laparoscopic-endoscopic cooperative surgical approach in this patient. This surgery was surgically and oncologically safe.

AB - We present the case of a 46-year-old obese woman with a 3.5-cm adenoma in the descending part of the duodenum who was treated with a totally laparoscopic approach. The preoperative examination revealed a pedunculated superficial tumor on the side of pancreas from the inferior duodenal angulus to 5 cm proximal to the papilla that was associated with massive blood flow. We chose not to perform endoscopic submucosal dissection, pancreaticoduodenectomy, or transduodenal tumor excision with laparotomy for this obese patient because of the poor exposure, risk of bleeding, and substantial invasiveness. We performed endoscopy-assisted laparoscopic submucosal dissection as a novel laparoscopic-endoscopic cooperative surgical approach in this patient. This surgery was surgically and oncologically safe.

UR - http://www.scopus.com/inward/record.url?scp=85073980597&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85073980597&partnerID=8YFLogxK

U2 - 10.1111/ases.12675

DO - 10.1111/ases.12675

M3 - Article

C2 - 30604563

SN - 1758-5902

VL - 12

SP - 461

EP - 464

JO - Asian journal of endoscopic surgery

JF - Asian journal of endoscopic surgery

IS - 4

ER -

Endoscopy-assisted laparoscopic submucosal dissection for a duodenal epithelial tumor

Abstract

All Science Journal Classification (ASJC) codes

Access to Document

Other files and links

Fingerprint

Cite this