Laparoscopic local excision of duodenal papillary tumor_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

TAN Qingquan , WANG Ziyao , MOU Yu , LIU Hongying , LIU Xubao ,  KE Nengwen

Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

KE Nengwen, Email: kenengwen@scu.edu.cn

Keywords：

duodenal papillary tumor; laparoscope; local resection; neuroendocrine tumor

DOI：

10.7507/1007-9424.202202006

Video：

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Objective To summarize the diagnosis and treatment process of a patient who underwent laparoscopic local excision of duodenal papillary tumor, and to explore the safety and feasibility of this surgery. Method The clinicopathologic characteristics and surgical procedure of the patient with duodenal papillary neuroendocrine tumor admitted to the West China Hospital of Sichuan University in June 2021 were retrospectively analyzed. Results The patient underwent the laparoscopic local excision of duodenal papillary tumor + in situ cholangiojejunostomy and pancreaticojejunostomy. The operation lasted about 3 hours, the blood loss was about 20 mL, and the patient exhausted on the 3rd day after the operation. On the 7th postoperative day, the gastric tube was pulled out and oral feeding was started. On the 8th day, the plasma drainage tube was pulled out and the patient was discharged smoothly. There was no duodenal fistula, bleeding, wound infection, and other complications. After 6 months of follow-up, the general condition of this patient was good, and no tumor recurrence or metastasis was found. Conclusion Laparoscopic local excision is an appropriate option for benign or low-grade malignancies involving the duodenal papillary tumor.

Citation： TAN Qingquan, WANG Ziyao, MOU Yu, LIU Hongying, LIU Xubao, KE Nengwen. Laparoscopic local excision of duodenal papillary tumor. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(4): 440-443. doi: 10.7507/1007-9424.202202006 Copy

1.	Nakagawa K, Sho M, Okada KI, et al. Surgical results of non-ampullary duodenal cancer: a nationwide survey in Japan. J Gastroenterol, 2022, 57(2): 70-81.
2.	鲍仲明, 张斌, 温泉, 等. 原发性十二指肠肿瘤118例临床分析. 中国普外基础与临床杂志, 2016, 23(4): 482-483.
3.	Groen JV, Smits FJ, Koole D, et al. Completion pancreatectomy or a pancreas-preserving procedure during relaparotomy for pancreatic fistula after pancreatoduodenectomy: a multicentre cohort study and meta-analysis. Br J Surg, 2021, 108(11): 1371-1379.
4.	Allen CJ, Yakoub D, Macedo FI, et al. Long-term quality of life and gastrointestinal functional outcomes after pancreaticoduodenectomy. Ann Surg, 2018, 268(4): 657-664.
5.	Halsted WS. Contributions to the surgery of the bile passages, especially of the common bile-duct. Boston Med Surg J, 1899, (141): 645-654.
6.	Tran CG, Sherman SK, Suraju MO, et al. Management of duodenal neuroendocrine tumors: surgical versus endoscopic mucosal resection. Ann Surg Oncol, 2022, 29(1): 75-84.
7.	McAuliffe JC, Parks K, Kumar P, et al. Computed tomography attenuation and patient characteristics as predictors of complications after pancreaticoduodenectomy. HPB (Oxford), 2013, 15(9): 709-715.
8.	Greenblatt DY, Kelly KJ, Rajamanickam V, et al. Preoperative factors predict perioperative morbidity and mortality after pancreaticoduodenectomy. Ann Surg Oncol, 2011, 18(8): 2126-2135.
9.	Fang WL, Su CH, Shyr YM, et al. Functional and morphological changes in pancreatic remnant after pancreaticoduodenectomy. Pancreas, 2007, 35(4): 361-365.
10.	Beger HG, Poch B, Mayer B, et al. New onset of diabetes and pancreatic exocrine insufficiency after pancreaticoduodenectomy for benign and malignant tumors: a systematic review and meta-analysis of long-term results. Ann Surg, 2018, 267(2): 259-270.
11.	Hara Y, Goda K, Dobashi A, et al. Short- and long-term outcomes of endoscopically treated superficial non-ampullary duodenal epithelial tumors. World J Gastroenterol, 2019, 25(6): 707-718.
12.	Yamasaki Y, Uedo N, Takeuchi Y, et al. Current status of endoscopic resection for superficial nonampullary duodenal epithelial tumors. Digestion, 2018, 97(1): 45-51.
13.	Posner S, Colletti L, Knol J, et al. Safety and long-term efficacy of transduodenal excision for tumors of the ampulla of Vater. Surgery, 2000, 128(4): 694-701.
14.	Rosen M, Zuccaro G, Brody F. Laparoscopic resection of a periampullary villous adenoma. Surg Endosc, 2003, 17(8): 1322-1323.
15.	Borie F, Zarzavadjian Le Bian A. Laparoscopic ampullectomy for an ampullarian adenoma. Surg Endosc, 2013, 27(11): 4385. doi: 10.1007/s00464-013-3078-1.
16.	Ahn KS, Han HS, Yoon YS, et al. Laparoscopic transduodenal ampullectomy for benign ampullary tumors. J Laparoendosc Adv Surg Tech A, 2010, 20(1): 59-63.
17.	Zhang RC, Xu XW, Wu D, et al. Laparoscopic transduodenal local resection of periampullary neuroendocrine tumor: a case report. World J Gastroenterol, 2013, 19(39): 6693-6698.
18.	Ragheb J, Mony S, Klapman J, et al. Impact of margin status on outcomes after endoscopic resection of well-differentiated duodenal neuroendocrine tumors. Gastrointest Endosc, 2021, 94(3): 580-588.
19.	Yamamoto K, Itoi T, Iwasaki E, et al. Endoscopic papillectomy for tumors of the minor duodenal papilla: a case series of six patients and literature review. J Hepatobiliary Pancreat Sci, 2021 Nov 26. Online ahead of print. doi: 10.1002/jhbp.1084.
20.	许军, 赵磊, 关英辉, 等. 腹腔镜十二指肠乳头肿瘤局部切除术 (附2例报告). 中国微创外科杂志, 2013, 13(10): 934-937.

1. Nakagawa K, Sho M, Okada KI, et al. Surgical results of non-ampullary duodenal cancer: a nationwide survey in Japan. J Gastroenterol, 2022, 57(2): 70-81.
2. 鲍仲明, 张斌, 温泉, 等. 原发性十二指肠肿瘤118例临床分析. 中国普外基础与临床杂志, 2016, 23(4): 482-483.
3. Groen JV, Smits FJ, Koole D, et al. Completion pancreatectomy or a pancreas-preserving procedure during relaparotomy for pancreatic fistula after pancreatoduodenectomy: a multicentre cohort study and meta-analysis. Br J Surg, 2021, 108(11): 1371-1379.
4. Allen CJ, Yakoub D, Macedo FI, et al. Long-term quality of life and gastrointestinal functional outcomes after pancreaticoduodenectomy. Ann Surg, 2018, 268(4): 657-664.
5. Halsted WS. Contributions to the surgery of the bile passages, especially of the common bile-duct. Boston Med Surg J, 1899, (141): 645-654.
6. Tran CG, Sherman SK, Suraju MO, et al. Management of duodenal neuroendocrine tumors: surgical versus endoscopic mucosal resection. Ann Surg Oncol, 2022, 29(1): 75-84.
7. McAuliffe JC, Parks K, Kumar P, et al. Computed tomography attenuation and patient characteristics as predictors of complications after pancreaticoduodenectomy. HPB (Oxford), 2013, 15(9): 709-715.
8. Greenblatt DY, Kelly KJ, Rajamanickam V, et al. Preoperative factors predict perioperative morbidity and mortality after pancreaticoduodenectomy. Ann Surg Oncol, 2011, 18(8): 2126-2135.
9. Fang WL, Su CH, Shyr YM, et al. Functional and morphological changes in pancreatic remnant after pancreaticoduodenectomy. Pancreas, 2007, 35(4): 361-365.
10. Beger HG, Poch B, Mayer B, et al. New onset of diabetes and pancreatic exocrine insufficiency after pancreaticoduodenectomy for benign and malignant tumors: a systematic review and meta-analysis of long-term results. Ann Surg, 2018, 267(2): 259-270.
11. Hara Y, Goda K, Dobashi A, et al. Short- and long-term outcomes of endoscopically treated superficial non-ampullary duodenal epithelial tumors. World J Gastroenterol, 2019, 25(6): 707-718.
12. Yamasaki Y, Uedo N, Takeuchi Y, et al. Current status of endoscopic resection for superficial nonampullary duodenal epithelial tumors. Digestion, 2018, 97(1): 45-51.
13. Posner S, Colletti L, Knol J, et al. Safety and long-term efficacy of transduodenal excision for tumors of the ampulla of Vater. Surgery, 2000, 128(4): 694-701.
14. Rosen M, Zuccaro G, Brody F. Laparoscopic resection of a periampullary villous adenoma. Surg Endosc, 2003, 17(8): 1322-1323.
15. Borie F, Zarzavadjian Le Bian A. Laparoscopic ampullectomy for an ampullarian adenoma. Surg Endosc, 2013, 27(11): 4385. doi: 10.1007/s00464-013-3078-1.
16. Ahn KS, Han HS, Yoon YS, et al. Laparoscopic transduodenal ampullectomy for benign ampullary tumors. J Laparoendosc Adv Surg Tech A, 2010, 20(1): 59-63.
17. Zhang RC, Xu XW, Wu D, et al. Laparoscopic transduodenal local resection of periampullary neuroendocrine tumor: a case report. World J Gastroenterol, 2013, 19(39): 6693-6698.
18. Ragheb J, Mony S, Klapman J, et al. Impact of margin status on outcomes after endoscopic resection of well-differentiated duodenal neuroendocrine tumors. Gastrointest Endosc, 2021, 94(3): 580-588.
19. Yamamoto K, Itoi T, Iwasaki E, et al. Endoscopic papillectomy for tumors of the minor duodenal papilla: a case series of six patients and literature review. J Hepatobiliary Pancreat Sci, 2021 Nov 26. Online ahead of print. doi: 10.1002/jhbp.1084.
20. 许军, 赵磊, 关英辉, 等. 腹腔镜十二指肠乳头肿瘤局部切除术 (附2例报告). 中国微创外科杂志, 2013, 13(10): 934-937.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Laparoscopic local excision of duodenal papillary tumor

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