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Laparoscopic transduodenal local resection of periampullary neuroendocrine tumor: A case report
Author(s) -
Ren-Chao Zhang,
Xiaorong Xu,
Di Wu,
Yucheng Zhou,
Harsha Ajoodhea,
Ke Chen,
Yiping Mou
Publication year - 2013
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v19.i39.6693
Subject(s) - medicine , ampulla of vater , major duodenal papilla , periampullary cancer , submucosa , resection margin , ampulla , pathological , endoscopy , surgery , resection , radiology , pancreaticoduodenectomy , general surgery , carcinoma
Studies on laparoscopic transduodenal local resection have not been readily available. Only three cases have been reported in the English-language literature. We describe herein a case of 25-year-old woman with periampullary neuroendocrine tumor (NET). Endoscopic ultrasonography revealed a duodenal papilla mass originated from the submucosa and close to the ampulla. The periampullary tumor was successfully managed with laparoscopic transduodenal local resection without any procedure-related complications. Pathological examination showed a NET (Grade 2) with negative margin. The patient was followed up for six months without signs of recurrence. This case suggests that laparoscopic transduodenal local resection is a feasible procedure in selected patients with periampullary tumor.

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