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

Figure 3 Steps of the surgical procedures. A: Inserting a cholangiogram catheter through the cystic duct to the duodenum; B: Mobilizing duodenum by the Kocher maneuver; C: Making a longitudinal incision of duodenal wall on the opposite site of the duodenal papilla; D: Performing the resection circumferentially at a distance of 5 mm from the tumor (arrow); E: Identifying pancreaticobiliary duct (arrow) by the cholangiogram catheter; F: Suturing the pancreaticobiliary duct to the surrounding duodenal mucosa; G: After closure of the duodenotomy. IVC: Indicates inferior vena cava; D: Duodenum.