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LAPAROSCOPIC RESECTION OF DUODENAL CARCINOID THROUGH AN INTRALUMINAL APPROACH IN A MORBIDLY OBESE PATIENT
Mihir M. Shah*1, Benjamin M. Martin2, Jamil L. Stetler3, Ankit Patel3, S. Scott Davis3, Edward Lin3
1Surgical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; 2Colorectal Surgery, University of Minnesota, Minneapolis, MN; 3General Surgery, Emory University, Atlanta, GA

Introduction:
Laparoscopic resection of duodenal carcinoid in an obese patient.
Method:
The duodenum was kocherized laparoscopically. The carcinoid was excised. The duodenal defect was closed with two figure-of-eight 2-0 vicryl sutures. A Heineke Mikulicz pyloroplasty and cholecystectomy was performed.
Result:
The gastrograffin swallow did not show a leak. He recovered well at 3-week follow-up. At 6-months, abdominal MRI was normal. Final pathology showed 0.6 cm well-differentiated neuroendocrine tumor involving duodenal submucosa without lymphovascular or perineural invasion.
Conclusion:
Duodenal carcinoid resection through an intraluminal approach requiring pyloroplasty with excellent recovery.


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