Laparoscopic treatment of duodenal carcinoid tumor |
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Authors: | T Toyonaga K Nakamura Y Araki H Shimura M Tanaka |
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Institution: | (1) First Department of Surgery, Kyushu University Faculty of Medicine, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582 Japan, JP;(2) Third Department of Internal Medicine, Kyushu University Faculty of Medicine, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582 Japan, JP |
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Abstract: | A 46-year-old man with epigastralgia and slight elevation of urinary 5-hydroxyindole acetic acid (5HIAA) was found to have
a well-demarcated carcinoid tumor in the duodenal bulb. The tumor measured 8 mm in size, and showed submucosal involvement
but no metastasis to the liver and regional lymph nodes. After laparoscopic exposure and lifting of the duodenal wall around
the tumor, wedge resection of the duodenal bulb including the tumor was performed successfully with a laparoscopic endostapler
under direct endoscopic control. The postoperative course of the patient was uneventful. Laparoscopic wedge resection of the
duodenum would be an appropriate minimally invasive treatment for selected duodenal neoplasms with special preoperative assessments
and intraoperative considerations.
Received: 27 January 1997/Accepted: 4 December 1997 |
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Keywords: | : Laparoscopic surgery — Intraoperative endoscopy — Duodenal carcinoid — Endoscopic ultrasonography |
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