Laparoscopic resection of duodenal bulb carcinoma : a case report Yasushi SEKINO 1 , Yasuhiro MUNAKATA 1 , Kei KUSAMA 2 , Masahiro SAKON 1 , Kouichi OKITA 1 , Hitoshi SEKI 1 1Department of Surgery, Nagano Municipal Hospital 2Department of Surgery, Nagano Red Cross Hospital Keyword: 腹腔鏡 , 十二指腸癌 , 十二指腸球部 pp.605-610
Published Date 2009/10/15
DOI https://doi.org/10.11477/mf.4426100393
  • Abstract
  • Look Inside
  • Reference

 We report a patient with primary duodenal carcinoma who underwent laparoscopic tumor resection. A 79 years old man was diagnosed as having a duodenal cancer. Upper gastrointestinal endoscopic examination revealed a type 0-Is tumor, 15 mm in size, in the duodenal bulb. Biopsy showed the tumor to be adenocarcinoma. Endoscopic ultrasonography reavealed unclear 3 rd layer. In Abdominal CT, the primary tumor was not detected and no metastasis was found. Preoparative diagnosis was submucosal invasion of duodenal adenocarcinoma without metastasis and laparoscopic resection was performed. The tumor was located from caudal to posterior wall of the duodenal bulb. The patient underwent laparoscopic resection with reconstruction of the duodenectomy defect using intracorporeal suturing techniques. Operative time was 202 minutes and blood loss was few. The patient had no postoperative complications and was discharged on 7 postoperative day. Pathological diagnosis was adenocarcinoma(pap-tub 1, 15×12 mm, m, ly0, v0). There is no consensus of the strategy for duodenal cancer. Laparoscopic partial resection of the duodenum seems to be an option for treatment for duodenal carcinoma of early stages.

Copyright © 2009, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会