Laparoscopic resection of posterior duodenal bulb carcinoid tumor.
Duodenal carcinoid tumors are rare neuroendocrine foregut tumors that, in contrast to midgut carcinoid tumors, have a low metastatic potential. The majority can be resected endoscopically. This case details a 67-year old man presenting with a biopsy-proven carcinoid tumor located at the posterior superior aspect of the duodenal bulb which was not amenable to endoscopic resection. The patient underwent a laparoscopic resection of the tumor after precise localization using simultaneous laparoscopy and duodenoscopy, with reconstruction of the duodenotomy defect using intracorporeal suturing techniques. The authors present a case report and details of an operative technique that may be utilized on other operations of the duodenum.
D000368:Aged; D002276:Carcinoid Tumor / Q000175:diagnosis / Q000601:surgery*; D004379:Duodenal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D004384:Duodenoscopy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013536:Suture Techniques