Ohi Masaki, Yasuda Hiromi, Ishino Yoshito, Katsurahara Masaki, Saigusa Susumu, Tanaka Kyosuke, Tanaka Koji, Mohri Yasuhiko, Inoue Yasuhiro, Uchida Keiichi, Kusunoki Masato
Department of Innovative Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Asian J Endosc Surg. 2013 Nov;6(4):307-10. doi: 10.1111/ases.12059.
We report a case involving a minimally invasive single-incision laparoscopic and endoscopic cooperative local excision of a duodenal gastrointestinal stromal tumor. A 59-year-old man presented with a 35-mm lesion located in the second portion of the duodenum. A local resection was performed via single-incision laparoscopic and endoscopic cooperative surgery. Intraluminal endoscopic dissection of the duodenal mucosa and submucosa was performed circumferentially around the tumor. The resection was then completed by laparoscopic dissection of the seromuscular layer around the tumor. The tumor was retrieved laparoscopically. After confirming that the resection achieved clear surgical margins, we closed the duodenal wall with a laparoscopic stapling device. There were no postoperative complications, including stenosis. Single-incision laparoscopic and endoscopic cooperative surgery can be safely and effectively performed for a duodenal submucosal tumor.
我们报告了一例十二指肠胃肠道间质瘤的微创单切口腹腔镜与内镜联合局部切除术。一名59岁男性患者，十二指肠第二部有一个35毫米的病变。通过单切口腹腔镜与内镜联合手术进行了局部切除。在肿瘤周围环形进行十二指肠黏膜和黏膜下层的腔内内镜剥离。然后通过腹腔镜剥离肿瘤周围的浆肌层完成切除。通过腹腔镜取出肿瘤。确认切除达到清晰的手术切缘后，我们用腹腔镜吻合器关闭十二指肠壁。无术后并发症，包括狭窄。单切口腹腔镜与内镜联合手术可安全有效地用于十二指肠黏膜下肿瘤。
