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Laparoscopic‐endoscopic cooperative surgery for ileal lipoma: A case report
Author(s) -
Nakanishi Ryota,
Fukunaga Yosuke,
Nagasaki Toshiya,
Emoto Shin,
Hirayama Kazuyoshi,
Yoshioka Satoshi,
Kitagawa Yusuke,
Honma Satoru,
Nagaoka Tomoyuki,
Matsui Shimpei,
Tominaga Tetsuro,
Minami Hironori,
Miyanari Shun,
Yamaguchi Tomohiro,
Akiyoshi Takashi,
Konishi Tsuyoshi,
Fujimoto Yoshiya,
Nagayama Satoshi,
Saito Shoichi,
Ueno Masashi
Publication year - 2020
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12706
Subject(s) - medicine , lipoma , malignancy , colonoscopy , surgery , ileocecal valve , endoscopy , ileum , intussusception (medical disorder) , laparoscopic surgery , laparoscopy , colorectal cancer , cancer
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 The tumor was withdrawn intraluminally by endoscopy.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.