Transduodenal excision of lesion

ASVIDE ◽  
2019 ◽  
Vol 6 ◽  
pp. 052-052
Author(s):  
Gabrielle Elise Cervoni ◽  
Tori Singer ◽  
Corinne Decicco ◽  
Jonathan Francis Critchlow ◽  
Tara Stotsky Kent ◽  
...  
Keyword(s):  
Transduodenal Excision

Duodenal Neuroendocrine Tumors: Location Matters!

2016 ◽  
Vol 82 (5) ◽  
pp. 386-389
Author(s):  
Mohd Raashid Sheikh ◽  
Houssam Osman ◽  
Susannah Cheek ◽  
Shanee Hunter ◽  
Dhiresh Rohan Jeyarajah
Keyword(s):  
Lymph Node ◽  
Neuroendocrine Tumors ◽  
Clinical Presentation ◽  
Positive Lymph Node ◽  
Factors Associated ◽  
Aggressive Surgical Approach ◽  
Duodenal Resection ◽  
Operative Findings ◽  
Duodenal Neuroendocrine Tumors ◽  
Transduodenal Excision

Duodenal neuroendocrine tumors (NETs) are rare. Historically, when feasible a less aggressive surgical approach is considered. The aim of this study was to identify factors associated with prognosis and the necessity for more aggressive surgical procedures. All patients who underwent surgery for duodenal NETs between September 2005 and June 2014 were identified retrospectively. Data collected included clinical presentation, operative findings, and histopathological data. Eighteen patients underwent surgical management for duodenal NETs. Two patients underwent transduodenal excision (11%), two patients had partial duodenal resection (11%), two patients had antrectomy including 1st part of duodenum (D1) resection (33%), and eight underwent pancreaticoduodenectomy [PD (44%)]. On analysis, 2nd part of duodenum (D2) location was the most common site of duodenal NETs (n = 9, 50%). The odds of having a PD were 10 times higher when the lesion was in D2 location. The odds of having a positive lymph node are nine times higher when the lesion is in D2 region. The odds of having a positive lymph node are three times higher when lesion is greater than T1. D2 location of NETs is associated with higher odds of lymph node positivity and need for more extensive procedures like PD.

scholarly journals Robotic Transduodenal Excision of Ampullary Tumour

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S1022-S1023
Author(s):  
L. Estalella ◽  
M.-C. Pavel ◽  
E. Llàcer-Millán ◽  
E. Julià ◽  
R. Memba ◽  
...  
Keyword(s):  
Transduodenal Excision

Transduodenal Excision of Ampullary Polyp with Biliopancreatic Sphincteroplasty

2007 ◽  
Vol 14 (9) ◽  
pp. 2615-2615
Author(s):  
Matthew L. D’Alessio ◽  
Donald Thometz ◽  
Brian A. Boe ◽  
Desiree V. Villadolid ◽  
Emmanuel E. Zervos ◽  
...  
Keyword(s):  
Transduodenal Excision

scholarly journals Adenoma of the Papillae of Vater. Report of Eleven Cases

HPB Surgery ◽  
2000 ◽  
Vol 11 (5) ◽  
pp. 339-344 ◽  
Author(s):  
Heikki Kiviniemi ◽  
Jyrki Mäkelä ◽  
Jukka Palm ◽  
Arto Saarela
Keyword(s):  
Histological Examination ◽  
Preoperative Diagnosis ◽  
University Hospital ◽  
Operative Risk ◽  
Resection Margins ◽  
Low Grade ◽  
Endoscopic Biopsies ◽  
High Operative Risk ◽  
Low Grade Dysplasia ◽  
Transduodenal Excision

Eleven patients with a preoperative diagnosis of adenoma of the papillae of Vater were followed up during the fifteen-year period from 1984 till 1998 in the Oulu University Hospital. Seven patients were treated primarily by transduodenal excision without any recurrences so far. One of these seven patients was found to have adenocarcinoma in a histological examination.Active surgery for adenoma of the papillae of Vater is recommended because of the precancerous nature of the lesion, and because malignancy cannot always be detected by endoscopic biopsies. Transduodenal excision could be recommend for patients at high operative risk, especially in cases with small adenomas and low-grade dysplasia, where histologically free resection margins can be achieved, but pancreaticoduodenectomy should still be performed on patients at low operative risk.

Sign in / Sign up

Export Citation Format

Share Document