Ohki Shinji, Hikichi Takuto, Momma Tomoyuki, Watanabe Ko, Nakamura Jun, Yamada Reo, Ujiie Daisuke, Nirei Azuma, Tada Takeshi, Hanayama Hiroyuki, Watanabe Youhei, Hayase Suguru, Gonda Kenji, Saze Zenichiro, Kono Koji
Dept. of Gastrointestinal Tract Surgery, Fukushima Medical University.
Gan To Kagaku Ryoho. 2018 Dec;45(13):2024-2026.
We report 2 cases of superficial non-ampullary duodenal tumor resected using laparoscopic endoscopic cooperative surgery( LECS). A man in his5 0's underwent screening esophagogastroduodenoscopy. Endoscopy revealed a 0-Ⅱc lesion at the anal side of the papilla of Vater that measured 5 mm. We performed LECS, and pathologic examination revealed tubular adenoma with no tumor cellsat the edge of the specimen. A man in his 80's underwent screening esophagogastroduodenoscopy. Endoscopy revealed a 0-Ⅱc lesion at the posterior wall above the papilla of Vater that measured 10 mm. The biopsy showed a well-differentiated adenocarcinoma. We performed LECS, and the pathological examination revealed a tubular adenocarcinoma in the mucosal layer with no carcinoma cells at the edge of the specimen. As the treatment strategy for superficial duodenal tumors has not established yet, further accumulation of cases and investigation are necessary.
我们报告了2例采用腹腔镜内镜联合手术（LECS）切除的非壶腹性十二指肠浅表肿瘤病例。一名50多岁的男性接受了食管胃十二指肠镜筛查。内镜检查发现 Vater 乳头肛侧有一个5毫米的0-Ⅱc病变。我们进行了LECS，病理检查显示标本边缘无肿瘤细胞的管状腺瘤。一名80多岁的男性接受了食管胃十二指肠镜筛查。内镜检查发现 Vater 乳头上方后壁有一个10毫米的0-Ⅱc病变。活检显示为高分化腺癌。我们进行了LECS，病理检查显示黏膜层有管状腺癌，标本边缘无癌细胞。由于十二指肠浅表肿瘤的治疗策略尚未确立，有必要进一步积累病例并进行研究。
