Laparoscopic transduodenal local resection of periampullary neuroendocrine tumor: a case report

World J Gastroenterol. 2013 Oct 21;19(39):6693-8. doi: 10.3748/wjg.v19.i39.6693.

Abstract

Studies on laparoscopic transduodenal local resection have not been readily available. Only three cases have been reported in the English-language literature. We describe herein a case of 25-year-old woman with periampullary neuroendocrine tumor (NET). Endoscopic ultrasonography revealed a duodenal papilla mass originated from the submucosa and close to the ampulla. The periampullary tumor was successfully managed with laparoscopic transduodenal local resection without any procedure-related complications. Pathological examination showed a NET (Grade 2) with negative margin. The patient was followed up for six months without signs of recurrence. This case suggests that laparoscopic transduodenal local resection is a feasible procedure in selected patients with periampullary tumor.

Keywords: Laparoscopic surgery; Neuroendocrine tumor; Periampullary tumor; Transduodenal local resection.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Ampulla of Vater / pathology
  • Ampulla of Vater / surgery*
  • Common Bile Duct Neoplasms / pathology
  • Common Bile Duct Neoplasms / surgery*
  • Duodenal Neoplasms / pathology
  • Duodenal Neoplasms / surgery*
  • Endosonography
  • Female
  • Gastroscopy
  • Humans
  • Laparoscopy*
  • Neoplasm Grading
  • Neuroendocrine Tumors / pathology
  • Neuroendocrine Tumors / surgery*
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome