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Gist of the 4th Portion of the Duodenum: Laparoscopic Resection with Pancreas Preservation

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Journal of Gastrointestinal Surgery

Abstract

In this video, we present the laparoscopic technique of pancreas-preserving segmental resection for GISTs of the 4th portion of the duodenum. A 54-year-old male presented with a polypoid mass of about 3 cm in diameter with a large base, in the 4th portion of the duodenum, about 4 cm from the ampulla. Multiple endoscopic biopsies were taken, and all were negative for adenocarcinoma. CT scan of the abdomen confirmed that the mass, suggestive of GIST, was limited to the duodenum, a limited part intraluminal and the vast majority in the duodenal wall. A laparoscopic segmental resection with a 3D video system was accomplished. The operation lasted 160 min. Recovery was uneventful.

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References

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Authors and Affiliations

  1. Department of General Surgery, ULSS 6 Euganea, Via Casa di Ricovero 40, 35013, Cittadella, Padova, Italy

    Giuseppe Portale, Antonio Mazzeo & Valentino Fiscon

Authors
  1. Giuseppe Portale
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  2. Antonio Mazzeo
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  3. Valentino Fiscon
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Corresponding author

Correspondence to Giuseppe Portale.

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An informed consent was obtained by the patient to reproduce the video and the local Ethics Committee approved the video report, proved that the patient could not be identified..

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The authors declare no competing interests.

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Portale, G., Mazzeo, A. & Fiscon, V. Gist of the 4th Portion of the Duodenum: Laparoscopic Resection with Pancreas Preservation. J Gastrointest Surg 25, 3013–3014 (2021). https://doi.org/10.1007/s11605-021-05109-8

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  • DOI: https://doi.org/10.1007/s11605-021-05109-8

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