Local resection by combined laparoendoscopic surgery for duodenal gastrointestinal stromal tumor

Kiyokazu Nakajima, Motohiko Kato, Toshirou Nishida, Makoto Yamasaki, Tsutomu Nishida, Shusaku Tsutsui, Hideharu Ogiyama, Shunsuke Yamamoto, Takuya Yamada, Masaki Mori, Yuichiro Doki, Norio Hayashi

Research output: Contribution to journalArticlepeer-review

22 Citations (Scopus)


Combined laparoendoscopic surgery is a novel surgical method which consists of both endoscopic surgery from inside the gastrointestinal tract and laparoscopic surgery from the outside. We report a case of duodenal GIST, in which combined laparoendoscopic local resection was attempted. The lesion was resected endoscopically using endoscopic submucosal dissection technique under laparoscopic assistance. Laparoscope was used for originating the orientation of the tumor, intra-operative EUS, and monitoring serosal injury from the peritoneal cavity. Postoperative hemorrhage occurred; however, precise orientation of the lesion helped us to manage the patient with minimal invasive reoperation. And thus, the bowel integrity was completely preserved, by avoiding segmental duodenal resection and pancreaticoduodenectomy. This novel, less invasive surgical procedure may become an attractive option for the lesions originating in the anatomically challenging portion of the GI tract for endoscopic or laparoscopic surgery alone.

Original languageEnglish
Article number645609
JournalDiagnostic and Therapeutic Endoscopy
Publication statusPublished - 2011
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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