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Yongwoo D. Seo*, Kevin M. Sullivan, James O. Park
General Surgery, University of Washington, Seattle, WA

Background: Neuroendocrine tumors (NET) involving the ampulla of Vater are exceptionally rare, and minimaly invasive approaches to surgical resection of ampullary NET have been scarcely reported.
Case Details: This is a 52-year-old woman with a non-functioning, 1 cm, biopsy-proven ampullary NET found on endoscopy evaluating for post-cholecystectomy pain. We performed a robot-assisted, transduodenal ampullectomy. Course was complicated by port site Richter’s hernia requiring laparoscopic reduction. Final pathology revealed a 1.5 cm WHO grade 2 NET.
Conclusions: Robot-assisted transduodenal ampullectomy of ampullary NET is feasible.

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