Japanese

Laparoscopic resection of a GIST located in the posterior wall of the ascending part of the duodenum : a case report Yasushi SEKINO 1 , Satoshi ISHIZONE 1 , Masahiro SAKON 1 , Naohiko KOIDE 1 , Shinichi MIYAGAWA 1 1Department of Surgery, Shinshu University School of Medicine Keyword: 十二指腸 , GIST , 腹腔鏡下手術 pp.483-488
Published Date 2011/8/15
DOI https://doi.org/10.11477/mf.4426100664
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 We report a case of a GIST located in the posterior wall of the ascending part of the duodenum, which could be resected laparoscopically. A 73-year-old man was admitted in order to remove a sigmoid colon cancer. On abdominal CT, another tumor, which was 20mm in size and well-demarcated, was found in the posterior wall of the ascending part of the duodenum. Preoperative staging of the sigmoid colon cancer was Stage I (T1, N0, M0). The patient synchronously underwent laparoscopic resection of the sigmoid colon cancer and the duodenal tumor. Laparoscopic sigmoidectomy was followed by laparoscopic duodenal partial resection using a linear stapler. The patient had no postoperative complication and was discharged on the 9 postoperative day. Histopathologically, the duodenal tumor showed positive reaction for c-kit protein, and MIB-1 index was less than 1%. The pathological diagnosis was GIST with low risk. One year after the operation, the patient had no recurrence.


Copyright © 2011, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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

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