Journal of Clinical Case Reports

Masahiro Sakon

Publications

• Case Report
  Laparoscopy Assisted Transduodenal Resection of a Periampullary Tumor at the Inferior Duodenal Angulus
  Author(s): Masahiro Sakon, Yasushi Sekino, Hitoshi Seki, Ayako Seki, Yasuhiro Munakata and Osamu HasebeMasahiro Sakon, Yasushi Sekino, Hitoshi Seki, Ayako Seki, Yasuhiro Munakata and Osamu Hasebe
  
  Background: Duodenal adenoma is a rare lesion that requires resection because of its malignant potential. Minimally invasive surgery is desirable for such lesions. Case summary: A 52-year-old man underwent esophagogastroduodenoscopy, which revealed a 30-mm 0-IIalike lesion at the inferior duodenal angulus. Examination of the biopsy specimen revealed a Group IV adenoma. The tumor was treated by laparoscopic transduodenal ampullectomy, which was performed under general anesthesia and via 5 trocars. After laparoscopic mobilization of the duodenum and pancreas head, the duodenum was externalized through a mini-laparotomy. A longitudinal incision was placed in the duodenum, and the tumor was excised extracorporeally under direct vision; submucosal dissection was achieved with an electrocautery device. The mucosal defect and duodenal wall were clo.. Read More»
  DOI: 10.4172/2165-7920.10001001

  Abstract PDF