Laparoscopic-Endoscopic Cooperative Surgery for Duodenal Tumors Manabu Takata 1 , Masahiro Sakon 2 , Kouichi Okita 1 , Masao Okada 1 , Miho Matsumura 1 , Yasuhiro Munakata 1 , Nobuyuki Tateiwa 3 , Kenichi Suzawa 3 , Osamu Hasebe 3 1Department of Surgery, Nagano Municipal Hospital, Nagano, Japan 2Department of Surgery, Okaya Municipal Hospital, Okaya, Japan 3Department of Gastroenterology, Nagano Municipal Hospital, Nagano, Japan Keyword: 十二指腸腫瘍 , 腹腔鏡手術 , 術中内視鏡 , LECS , 十二指腸全層切除 pp.1678-1683
Published Date 2011/10/25
DOI https://doi.org/10.11477/mf.1403102386
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 LECS(laparoscopic-endoscopic cooperative surgery)procedure appears to be feasible and useful for resection of duodenal tumors. Five patients have undergone LECS since December 2008. The diameters of their lesions were about 10mm. Histopathologic studies revealed three of them were tubular adenoma with moderate-to-severe dysplasia, one was a mucosal adenocarcinoma and the other was a gastrointestinal stromal tumor. Only one of the cases gave trouble and another operation was performed for it five days later because of stromal leakage. We concluded that the defect of this patient's duodenum was too close to the pancreatic head. The suture line should be limited one half of the lumen and free from the pancreatic head for a safe LECS procedure.

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