Case Report
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World J Gastroenterol. Sep 14, 2014; 20(34): 12341-12345
Published online Sep 14, 2014. doi: 10.3748/wjg.v20.i34.12341
Laparoscopic partial resection for hemangioma in the third portion of the duodenum
Shingo Kanaji, Tetsu Nakamura, Masayasu Nishi, Masashi Yamamoto, Kiyonori Kanemitu, Kimihiro Yamashiita, Tatsuya Imanishi, Yasuo Sumi, Satoshi Suzuki, Kenichi Tanaka, Yoshihiro Kakeji
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
Author contributions: Kanaji S, Nakamura T, Nishi M, Yamamoto M, Kanemitu K, Yamashiita K, Imanishi T, Sumi Y, Suzuki S, Tanaka K, and Kakeji Y contributed equally to this work; Kanaji S wrote the paper.
Correspondence to: Shingo Kanaji, MD, PhD, Department of Gastrointestinal Surgery, Faculty of Medicine, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan. kanashin@med.kobe-u.ac.jp
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Received: February 8, 2014
Revised: April 9, 2014
Accepted: April 21, 2014
Published online: September 14, 2014
Core Tip

Core tip: This report describes a case with bleeding hemangiomas in the third portion of the duodenum and successful treatment using a laparoscopic approach. After performing a laparoscopic Kocher maneuver was performed, 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. This minimally invasive technique may be a valid alternative to open surgery for the treatment of benign duodenal tumors in the third portion.