Endoscopy‐assisted laparoscopic submucosal dissection for a duodenal epithelial tumor
We present the case of a 46‐year‐old obese woman with a 3.5‐cm adenoma in the descending part of the duodenum who was treated with a totally laparoscopic approach. The preoperative examination revealed a pedunculated superficial tumor on the side of pancreas from the inferior duodenal angulus to 5 c...
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| Veröffentlicht in: | Asian journal of endoscopic surgery 2019-10, Vol.12 (4), p.461-464 |
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| container_title | Asian journal of endoscopic surgery |
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| creator | Miyazaki, Yasuhiro Takiguchi, Shuji Kurokawa, Yukinori Takahashi, Tsuyoshi Fukuda, Yasunari Yamasaki, Makoto Makino, Tomoki Tanaka, Koji Motoori, Masaaki Kimura, Yutaka Nakajima, Kiyokazu Mori, Masaki Doki, Yuichiro |
| description | We present the case of a 46‐year‐old obese woman with a 3.5‐cm adenoma in the descending part of the duodenum who was treated with a totally laparoscopic approach. The preoperative examination revealed a pedunculated superficial tumor on the side of pancreas from the inferior duodenal angulus to 5 cm proximal to the papilla that was associated with massive blood flow. We chose not to perform endoscopic submucosal dissection, pancreaticoduodenectomy, or transduodenal tumor excision with laparotomy for this obese patient because of the poor exposure, risk of bleeding, and substantial invasiveness. We performed endoscopy‐assisted laparoscopic submucosal dissection as a novel laparoscopic‐endoscopic cooperative surgical approach in this patient. This surgery was surgically and oncologically safe. |
| doi_str_mv | 10.1111/ases.12675 |
| format | Article |
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The preoperative examination revealed a pedunculated superficial tumor on the side of pancreas from the inferior duodenal angulus to 5 cm proximal to the papilla that was associated with massive blood flow. We chose not to perform endoscopic submucosal dissection, pancreaticoduodenectomy, or transduodenal tumor excision with laparotomy for this obese patient because of the poor exposure, risk of bleeding, and substantial invasiveness. We performed endoscopy‐assisted laparoscopic submucosal dissection as a novel laparoscopic‐endoscopic cooperative surgical approach in this patient. This surgery was surgically and oncologically safe.</description><identifier>ISSN: 1758-5902</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.12675</identifier><identifier>PMID: 30604563</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Colorectal cancer ; Dissection ; Duodenal Neoplasms - surgery ; Duodenal tumor ; Endoscopic Mucosal Resection ; Endoscopy ; Female ; Humans ; laparoscopic submucosal dissection ; laparoscopic‐endoscopic cooperative surgery ; Laparoscopy ; Middle Aged ; Neoplasms, Glandular and Epithelial - surgery</subject><ispartof>Asian journal of endoscopic surgery, 2019-10, Vol.12 (4), p.461-464</ispartof><rights>2019 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd</rights><rights>2019 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3485-b9987125309c4dac34128f6c98830e70ca3b7ba69ee16025c77bd1b5fee2eba73</citedby><cites>FETCH-LOGICAL-c3485-b9987125309c4dac34128f6c98830e70ca3b7ba69ee16025c77bd1b5fee2eba73</cites><orcidid>0000-0002-8123-687X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fases.12675$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fases.12675$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30604563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miyazaki, Yasuhiro</creatorcontrib><creatorcontrib>Takiguchi, Shuji</creatorcontrib><creatorcontrib>Kurokawa, Yukinori</creatorcontrib><creatorcontrib>Takahashi, Tsuyoshi</creatorcontrib><creatorcontrib>Fukuda, Yasunari</creatorcontrib><creatorcontrib>Yamasaki, Makoto</creatorcontrib><creatorcontrib>Makino, Tomoki</creatorcontrib><creatorcontrib>Tanaka, Koji</creatorcontrib><creatorcontrib>Motoori, Masaaki</creatorcontrib><creatorcontrib>Kimura, Yutaka</creatorcontrib><creatorcontrib>Nakajima, Kiyokazu</creatorcontrib><creatorcontrib>Mori, Masaki</creatorcontrib><creatorcontrib>Doki, Yuichiro</creatorcontrib><title>Endoscopy‐assisted laparoscopic submucosal dissection for a duodenal epithelial tumor</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>We present the case of a 46‐year‐old obese woman with a 3.5‐cm adenoma in the descending part of the duodenum who was treated with a totally laparoscopic approach. The preoperative examination revealed a pedunculated superficial tumor on the side of pancreas from the inferior duodenal angulus to 5 cm proximal to the papilla that was associated with massive blood flow. We chose not to perform endoscopic submucosal dissection, pancreaticoduodenectomy, or transduodenal tumor excision with laparotomy for this obese patient because of the poor exposure, risk of bleeding, and substantial invasiveness. We performed endoscopy‐assisted laparoscopic submucosal dissection as a novel laparoscopic‐endoscopic cooperative surgical approach in this patient. This surgery was surgically and oncologically safe.</description><subject>Colorectal cancer</subject><subject>Dissection</subject><subject>Duodenal Neoplasms - surgery</subject><subject>Duodenal tumor</subject><subject>Endoscopic Mucosal Resection</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Humans</subject><subject>laparoscopic submucosal dissection</subject><subject>laparoscopic‐endoscopic cooperative surgery</subject><subject>Laparoscopy</subject><subject>Middle Aged</subject><subject>Neoplasms, Glandular and Epithelial - surgery</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9KAzEQxoMoVqsXH0AWvAmt-bNJdo-l1D9Q8FDFY8gms5iybdbNLtKbj-Az-iSm3dqjc5nhmx8fMx9CVwSPSaw7HSCMCRWSH6EzInk24jnBx4cZ0wE6D2GJsZAkZadowLDAKRfsDL3N1tYH4-vNz9e3DsGFFmxS6Vo3O9mZJHTFqjM-6CqxLgQwrfPrpPRNohPbeQvruIHate9QuTi23co3F-ik1FWAy30fotf72cv0cTR_fniaTuYjw9KMj4o8zyShnOHcpFZHkdCsFCbPMoZBYqNZIQstcgAiMOVGysKSgpcAFAot2RDd9L514z86CK1a-q6JFwVFGZacCpHySN32lIlfhQZKVTdupZuNIlhtM1TbDNUuwwhf7y3j42AP6F9oESA98Okq2PxjpSaL2aI3_QXb5355</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Miyazaki, Yasuhiro</creator><creator>Takiguchi, Shuji</creator><creator>Kurokawa, Yukinori</creator><creator>Takahashi, Tsuyoshi</creator><creator>Fukuda, Yasunari</creator><creator>Yamasaki, Makoto</creator><creator>Makino, Tomoki</creator><creator>Tanaka, Koji</creator><creator>Motoori, Masaaki</creator><creator>Kimura, Yutaka</creator><creator>Nakajima, Kiyokazu</creator><creator>Mori, Masaki</creator><creator>Doki, Yuichiro</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0002-8123-687X</orcidid></search><sort><creationdate>201910</creationdate><title>Endoscopy‐assisted laparoscopic submucosal dissection for a duodenal epithelial tumor</title><author>Miyazaki, Yasuhiro ; Takiguchi, Shuji ; Kurokawa, Yukinori ; Takahashi, Tsuyoshi ; Fukuda, Yasunari ; Yamasaki, Makoto ; Makino, Tomoki ; Tanaka, Koji ; Motoori, Masaaki ; Kimura, Yutaka ; Nakajima, Kiyokazu ; Mori, Masaki ; Doki, Yuichiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3485-b9987125309c4dac34128f6c98830e70ca3b7ba69ee16025c77bd1b5fee2eba73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Colorectal cancer</topic><topic>Dissection</topic><topic>Duodenal Neoplasms - surgery</topic><topic>Duodenal tumor</topic><topic>Endoscopic Mucosal Resection</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Humans</topic><topic>laparoscopic submucosal dissection</topic><topic>laparoscopic‐endoscopic cooperative surgery</topic><topic>Laparoscopy</topic><topic>Middle Aged</topic><topic>Neoplasms, Glandular and Epithelial - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miyazaki, Yasuhiro</creatorcontrib><creatorcontrib>Takiguchi, Shuji</creatorcontrib><creatorcontrib>Kurokawa, Yukinori</creatorcontrib><creatorcontrib>Takahashi, Tsuyoshi</creatorcontrib><creatorcontrib>Fukuda, Yasunari</creatorcontrib><creatorcontrib>Yamasaki, Makoto</creatorcontrib><creatorcontrib>Makino, Tomoki</creatorcontrib><creatorcontrib>Tanaka, Koji</creatorcontrib><creatorcontrib>Motoori, Masaaki</creatorcontrib><creatorcontrib>Kimura, Yutaka</creatorcontrib><creatorcontrib>Nakajima, Kiyokazu</creatorcontrib><creatorcontrib>Mori, Masaki</creatorcontrib><creatorcontrib>Doki, Yuichiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miyazaki, Yasuhiro</au><au>Takiguchi, Shuji</au><au>Kurokawa, Yukinori</au><au>Takahashi, Tsuyoshi</au><au>Fukuda, Yasunari</au><au>Yamasaki, Makoto</au><au>Makino, Tomoki</au><au>Tanaka, Koji</au><au>Motoori, Masaaki</au><au>Kimura, Yutaka</au><au>Nakajima, Kiyokazu</au><au>Mori, Masaki</au><au>Doki, Yuichiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopy‐assisted laparoscopic submucosal dissection for a duodenal epithelial tumor</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2019-10</date><risdate>2019</risdate><volume>12</volume><issue>4</issue><spage>461</spage><epage>464</epage><pages>461-464</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>We present the case of a 46‐year‐old obese woman with a 3.5‐cm adenoma in the descending part of the duodenum who was treated with a totally laparoscopic approach. 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| subjects | Colorectal cancer Dissection Duodenal Neoplasms - surgery Duodenal tumor Endoscopic Mucosal Resection Endoscopy Female Humans laparoscopic submucosal dissection laparoscopic‐endoscopic cooperative surgery Laparoscopy Middle Aged Neoplasms, Glandular and Epithelial - surgery |
| title | Endoscopy‐assisted laparoscopic submucosal dissection for a duodenal epithelial tumor |
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