Feasibility and Safety of a Novel Laparoscopic and Endoscopic Cooperative Surgery Technique for Superficial Duodenal Tumor Resection: How I Do ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-03-11

AUTHORS

Yoshitomo Yanagimoto, Takeshi Omori, Moon Jeong-Ho, Naoki Shinno, Kazuyoshi Yamamoto, Yoji Takeuchi, Koji Higashino, Noriya Uedo, Keijiro Sugimura, Tomoyuki Matsunaga, Hiroshi Miyata, Hajime Ushigome, Yusuke Takahashi, Junichi Nishimura, Masayoshi Yasui, Kei Asukai, Daisaku Yamada, Akira Tomokuni, Hiroshi Wada, Hidenori Takahashi, Masayuki Ohue, Masahiko Yano, Masato Sakon

ABSTRACT

BACKGROUND: Pancreatoduodenectomy is considered to be a very invasive treatment for early superficial duodenal tumors (SDTs), which have a lower risk of lymph node metastasis. Partial resection of the duodenum with endoscopic submucosal dissection for SDT resection is an attractive technique but it is associated with a high risk of complications. We describe our technique for SDT resection. METHOD: It includes the following elements: freeing the transverse mesocolon, exposing and mobilizing the second part of the duodenum and the head of the pancreas (Kocher maneuver), confirming the location of the ulcer bed for endoscopic submucosal dissection, and laparoscopic suturing by hand in the seromuscular layer of the duodenum. We performed this technique in 10 patients between March 2015 and March 2017. RESULTS: The median tumor diameter and resected tissue diameter were 36 (20-54) and 41 (25-60) mm, respectively. Curative resection (R0) with negative margins was achieved for all patients. There were no conversions to open surgery in this series. No postoperative complications were above grade 2 in the Clavien-Dindo classification system. No recurrences were observed during the medium-term follow-up period. CONCLUSION: This technique is safe and feasible and can be an option for surgical SDT resection. More... »

PAGES

1-7

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11605-019-04176-2

DOI

http://dx.doi.org/10.1007/s11605-019-04176-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112683321

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30859426


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    "description": "BACKGROUND: Pancreatoduodenectomy is considered to be a very invasive treatment for early superficial duodenal tumors (SDTs), which have a lower risk of lymph node metastasis. Partial resection of the duodenum with endoscopic submucosal dissection for SDT resection is an attractive technique but it is associated with a high risk of complications. We describe our technique for SDT resection.\nMETHOD: It includes the following elements: freeing the transverse mesocolon, exposing and mobilizing the second part of the duodenum and the head of the pancreas (Kocher maneuver), confirming the location of the ulcer bed for endoscopic submucosal dissection, and laparoscopic suturing by hand in the seromuscular layer of the duodenum. We performed this technique in 10 patients between March 2015 and March 2017.\nRESULTS: The median tumor diameter and resected tissue diameter were 36 (20-54) and 41 (25-60)\u00a0mm, respectively. Curative resection (R0) with negative margins was achieved for all patients. There were no conversions to open surgery in this series. No postoperative complications were above grade 2 in the Clavien-Dindo classification system. No recurrences were observed during the medium-term follow-up period.\nCONCLUSION: This technique is safe and feasible and can be an option for surgical SDT resection.", 
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Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11605-019-04176-2'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11605-019-04176-2'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11605-019-04176-2'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11605-019-04176-2'


 

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