Commentary on Laparoscopic-Endoscopic Cooperative Surgery for Duodenal Lesions
نویسندگان
چکیده
Laparoscopic wedge resection of gastric submucosal tumors is an established method, but the tumor is usually resected to an excessive extent [1,2]. Hiki et al. first reported laparoscopic-endoscopic cooperative surgery (LECS) for gastric tumors [3]. Under the LECS approach, the tumor can be resected with minimal but adequate surgical margin. We reported LECS for duodenal lesions in 2010 [4], but other such reports limited. Although LECS enables resection of the tumor with minimal but adequate surgical margin and without postoperative deformity or stenosis, the procedure is still not fully established.
منابع مشابه
Safe management of laparoscopic endoscopic cooperative surgery for superficial non-ampullary duodenal epithelial tumors
Background and study aims Endoscopic submucosal dissection (ESD) for duodenal tumors results in a high delayed perforation rate due to the thinness of the duodenal wall. In most cases with perforation after duodenal ESD, additional surgery is needed due to severe peritonitis. A newly developed procedure, laparoscopic endoscopic cooperative surgery for duodenal tumors (D-LECS), may help to avoi...
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