Laparoscopic Local Resection for Duodenal Gastrointestinal Stromal Tumor Located in the Third Portion Using Kocher's Maneuver-A Case Report

Kazumitsu Suzuki, Susumu Shibasaki, Ayaka Ito, Yuko Nakano, Masahiro Fujita, Kazuhiro Matsuo, Ai Goto, Kenichi Nakamura, Tsuyoshi Tanaka, Kenji Kikuchi, Kazuki Inaba, Koichi Suda, Ichiro Uyama

Research output: Contribution to journalArticlepeer-review

Abstract

Duodenal gastrointestinal stromal tumor(GIST)are relatively rare. Here, we report a case of a duodenal GIST located in the third portion that was successfully treated via laparoscopic local resection using the Kocher maneuver. A 49-year-old woman with a high BMI of 43.4 kg/m2 was diagnosed with a 20 mm duodenal submucosal tumor in the third portion that was suspected to be a GIST; subsequently, she underwent laparoscopic local resection. After mobilization from the first to third portion of the duodenum using the Kocher maneuver, local resection using a linear stapler was completed. The surgery time was 152 minutes, and the estimated blood loss was approximately zero. The postoperative course was uneventful, and she was discharged on the 7th postoperative day. The pathological diagnosis was ultra-low-grade GIST. This procedure can be a useful option for obese patients with good operative field of view.

Original languageEnglish
Pages (from-to)2144-2146
Number of pages3
JournalGan to kagaku ryoho. Cancer & chemotherapy
Volume47
Issue number13
Publication statusPublished - 01-12-2020

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

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