title: Laparoscopic partial resection for hemangioma in the third portion of the duodenum.
abstract: Benign duodenal tumors are rare and less common than malignant tumors. Furthermore, vascular lesions of the duodenum, including hemangiomas, are rare causes of gastrointestinal bleeding. This report describes a case with bleeding hemangiomas in the third portion of the duodenum and jejunum and their successful treatment using a laparoscopic approach. There is no report of totally laparoscopic resection for tumor in the third portion of duodenum. After performing a laparoscopic Kocher maneuver, the location of the duodenal hemangioma was confirmed by endoscopic and laparoscopic observation. The lesion was excised using ultrasonic coagulating shears and the defect in the duodenal wall was sutured laparoscopically. The hemangioma of the jejunum was treated extracorporeally through a 3.0 cm umbilical incision. The operating time was 241 min and blood loss was negligible. The postoperative course was uneventful. For benign duodenal tumors in the third portion, if endoscopic resection is not adapted, this less invasive technique may be a standard treatment.
authors.affiliation: Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji, Department of Gastrointestinal Surgery, Faculty of Medicine, Hyogo 650-0017, Japan.
authors.forename: Shingo
authors.initials: S
authors.lastname: Kanaji
authors.affiliation: Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji, Department of Gastrointestinal Surgery, Faculty of Medicine, Hyogo 650-0017, Japan.
authors.forename: Tetsu
authors.initials: T
authors.lastname: Nakamura
authors.affiliation: Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji, Department of Gastrointestinal Surgery, Faculty of Medicine, Hyogo 650-0017, Japan.
authors.forename: Masayasu
authors.initials: M
authors.lastname: Nishi
authors.affiliation: Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji, Department of Gastrointestinal Surgery, Faculty of Medicine, Hyogo 650-0017, Japan.
authors.forename: Masashi
authors.initials: M
authors.lastname: Yamamoto
authors.affiliation: Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji, Department of Gastrointestinal Surgery, Faculty of Medicine, Hyogo 650-0017, Japan.
authors.forename: Kiyonori
authors.initials: K
authors.lastname: Kanemitu
authors.affiliation: Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji, Department of Gastrointestinal Surgery, Faculty of Medicine, Hyogo 650-0017, Japan.
authors.forename: Kimihiro
authors.initials: K
authors.lastname: Yamashiita
authors.affiliation: Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji, Department of Gastrointestinal Surgery, Faculty of Medicine, Hyogo 650-0017, Japan.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Imanishi
authors.affiliation: Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji, Department of Gastrointestinal Surgery, Faculty of Medicine, Hyogo 650-0017, Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Sumi
authors.affiliation: Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji, Department of Gastrointestinal Surgery, Faculty of Medicine, Hyogo 650-0017, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Suzuki
authors.affiliation: Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji, Department of Gastrointestinal Surgery, Faculty of Medicine, Hyogo 650-0017, Japan.
authors.forename: Kenichi
authors.initials: K
authors.lastname: Tanaka
authors.affiliation: Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji, Department of Gastrointestinal Surgery, Faculty of Medicine, Hyogo 650-0017, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kakeji
mesh_terms: D000328:Adult; D058582:Double-Balloon Enteroscopy; D004379:Duodenal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D004384:Duodenoscopy; D006391:Hemangioma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D061646:Operative Time; D011859:Radiography; D013536:Suture Techniques; D016896:Treatment Outcome; D059708:Ultrasonic Surgical Procedures
keywords: Duodenum; Hemangioma; Third portion; Total laparoscopic resection