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Introduction: Duodenal tumors such as adenomas and carcinoids are historically managed with endoscopic resection or laparotomy depending on size, location and patient comorbidities. The objective of this study was to evaluate the role of laparoscopic partial duodenectomy in the surgical management of duodenal tumors. Methods: All consecutive patients who underwent surgical resection of the duodenum from 2008 to 2009 were reviewed. Demographic information, patient co-morbidities, procedural data, and postoperative outcomes were analyzed in patients with either duodenal adenoma or carcinoid on surgical pathology. Results: Duodenectomy was performed in 19 patients. Partial duodenectomy was performed for duodenal adenoma or cacinoid in 9 patients; three via laparoscopy and 6 via laparotomy. There were no statistical differences in patient demographics, OR time, blood loss, margin status, return of bowel function, or length of stay. However, a significantly higher rate of diabetes mellitus (DM) and morbid obesity (BMI >35) was observed in the laparoscopic group. No laparoscopic procedure required conversion. Minor postoperative complications occurred in 50% of patients after laparotomy (Table 1). There were no major complications or deaths in this series. Conclusions: Laparoscopic partial duodenectomy is a safe and effective procedure for the management of duodenal tumors not amenable via endoscopic therapies. This approach provides another option for the management duodenal tumors.
Table 1

	Laparoscopy(n=3)	Laparotomy(n=6)
Age (yr)	70 ± 4	61 ± 5
OR time (min)	184 ± 32	195 ± 25
Blood Loss (ml)	120 ± 70	128 ± 28
Positive Margin (%)	0 (0/3)	17 (1/6)
Bowel Function (day)	3.3 ± 0.7	3 ± 0.5
Length of Stay (day)	5.7 ± 0.9	7 ± 2
DM (%)	100 (3/3)	0 (0/6)
BMI >35 (%)	100 (3/3)	0 (0/6)
Minor Complication (%)	0 (0/3)	50 (3/6)