| Theme | Diagnosis and Treatment of Non-ampullary Duodenal Epithelial Tumor -- Current Status and Issues | |
|---|---|---|
| Title | Surgical Treatment for Superficial Non-ampullary Duodenal Epithelial Tumors | |
| Publish Date | 2018/09 | |
| Author | Nobutsugu Abe | Department of Surgery, Kyorin University School of Medicine |
| Author | Yoshikazu Hashimoto | Department of Surgery, Kyorin University School of Medicine |
| Author | Hirohisa Takeuchi | Department of Surgery, Kyorin University School of Medicine |
| Author | Yutaka Suzuki | Department of Surgery, Kyorin University School of Medicine |
| Author | Yoshihiro Sakamoto | Department of Surgery, Kyorin University School of Medicine |
| Author | Toshiyuki Mori | Department of Surgery, Kyorin University School of Medicine |
| [ Summary ] | In this section we discuss the role of limited surgery for superficial non-ampullary duodenal epithelial tumors (SNADET). Surgical resection is the treatment of choice for SNADET not amenable to endoscopic resection owing to technical and/or oncological reasons. Mucosal carcinoma and adenomas rarely metastasize to lymph nodes; therefore, even when surgery is indicated, minimal local resection involving the smallest possible area without lymphadenectomy such as transduodenal excision, local full-thickness resection, or pancreas-sparing duodenectomy should be performed as an alternative to endoscopic resection. A laparoscopy-assisted procedure can be used for all limited surgeries. | |