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 HOW I DO IT DIFFERENTLY
Year : 2017  |  Volume : 13  |  Issue : 2  |  Page : 157-160

Laparoscopic resection of duodenal gastrointestinal stromal tumour


1 Department of Surgery “A”, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beersheba, Israel
2 Department of Gastroenterology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beersheba, Israel

Correspondence Address:
Boris Kirshtein
Department of Surgery “A”, Soroka University Medical Center, POB 151, Beersheba 84101
Israel
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.195576

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Only a few studies have revealed using laparoscopic technique with limited resection of gastrointestinal stromal tumour (GIST) of the duodenum. A 68-year-old man was admitted to the hospital due to upper gastrointestinal (GI) bleeding. Evaluation revealed an ulcerated, bleeding GI tumour in the second part of the duodenum. After control of bleeding during gastroduodenoscopy, he underwent a laparoscopic wedge resection of the area. During 1.5 years of follow-up, the patient is disease free, eats drinks well, and has regained weight. Surgical resection of duodenal GIST with free margins is the main treatment of this tumour. Various surgical treatment options have been reported. Laparoscopic resection of duodenal GIST is an advanced and challenging procedure requiring experience and good surgical technique. The laparoscopic limited resection of duodenal GIST is feasible and safe, reducing postoperative morbidity without compromising oncologic results.






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