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Surgical Approach for Non-ampullary Duodenal Adenoma and Carcinoma Nobutsugu Abe 1 , Nobuyoshi Aso 1 , Youhei Kojima 1 , Masanao Tsurumi 1 , Yoshikazu Hashimoto 1 , Atsuko Ohki 1 , Hirohisa Takeuchi 1 , Yutaka Suzuki 1 , Eiji Sunami 1 , Yoshihiro Sakamoto 1 1Department of Gastrointestinal and General Surgery, Kyorin University Faculty of Medicine, Tokyo Keyword: 十二指腸腫瘍 , 十二指腸癌 , 十二指腸腺腫 , 手術 , 縮小手術 pp.1689-1695
Published Date 2021/12/25
DOI https://doi.org/10.11477/mf.1403202620
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 Surgical resection is the treatment of choice for non-ampullary duodenal adenoma and carcinoma that is not amenable to endoscopic resection due to technical and/or oncological reasons. Duodenal adenoma, as well as intramucosal carcinoma, rarely metastasizes to the lymph nodes ; therefore, even when surgery is indicated, minimal local resection that is as small as possible without lymph node dissection, such as transduodenal mucosal excision, local full-thickness resection, pancreas-sparing segmental duodenectomy, or reinforcement of seromuscular/full layer after endoscopic resection, should be performed as an alternative to pancreatoduodenectomy. A laparoscopic approach can be applicable to almost all limited surgeries.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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