Single‐incision laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor arising from the duodenum
Single‐incision laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor arising from the duodenum
复制标题
单孔腹腔镜与内镜配合手术治疗十二指肠胃肠道间质瘤
DOI：
10.1111/ases.12059
复制
发表时间：
2013
影响因子：
1
通讯作者：
M. Kusunoki
中科院分区：
文献类型：
--
作者：
M. Ohi;H. Yasuda;Yoshito Ishino;M. Katsurahara;S. Saigusa;Kyosuke Tanaka;Koji Tanaka;Y. Mohri;Y. Inoue;K. Uchida;M. Kusunoki
我们报道一例微创单切口腹腔镜和内镜配合局部切除十二指肠胃肠道间质瘤的病例。一名 59 岁男性因十二指肠第二部分出现 35 毫米的病变而就诊。通过单切口腹腔镜和内镜协作手术进行局部切除。在肿瘤周围进行十二指肠粘膜和粘膜下层的腔内内窥镜解剖。然后通过腹腔镜解剖肿瘤周围的浆肌层来完成切除。通过腹腔镜取出肿瘤。在确认切除达到清晰的手术切缘后，我们用腹腔镜吻合器闭合十二指肠壁。术后未出现狭窄等并发症。单切口腹腔镜与内镜配合手术可安全有效地治疗十二指肠粘膜下肿瘤。
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.