Case Report
Copyright ©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Oct 21, 2013; 19(39): 6693-6698
Published online Oct 21, 2013. doi: 10.3748/wjg.v19.i39.6693
Laparoscopic transduodenal local resection of periampullary neuroendocrine tumor: A case report
Ren-Chao Zhang, Xiao-Wu Xu, Di Wu, Yu-Cheng Zhou, Harsha Ajoodhea, Ke Chen, Yi-Ping Mou
Ren-Chao Zhang, Xiao-Wu Xu, Di Wu, Yu-Cheng Zhou, Harsha Ajoodhea, Ke Chen, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China
Author contributions: Zhang RC, Xu XW and Mou YP performed the operation; Wu D, Zhou YC and Chen K collected case data; Zhang RC and Ajoodhea H wrote the manuscript; Mou YP proofread and revised the manuscript; all authors approved the version to be published.
Supported by The key project grant from the Science and Technology Department of Zhejiang Province, China, No.2011C13036-2
Correspondence to: Yi-Ping Mou, MD, FACS, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou 310016, Zhejiang Province, China. mouyp@srrsh.com
Telephone: +86-571-86006952 Fax: +86-571-86044817
Received: August 5, 2013
Revised: August 30, 2013
Accepted: September 4, 2013
Published online: October 21, 2013
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, Transduodenal local resection, Neuroendocrine tumor, Periampullary tumor

Core tip: There are few studies on laparoscopic transduodenal local resection. Only three cases have been reported in the English-language literature. We present our experience in laparoscopic transduodenal local resection in a case of periampullary neuroendocrine tumor. The successful outcome suggests that laparoscopic transduodenal local resection is a feasible procedure in selected patients with periampullary tumor.