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LAPAROSCOPIC TRANSDUODENAL AMPULLARY RESECTION IN A MORBIDLY OBESE PATIENT
Essa M. Aleassa*1,2, Robert Simon1, Voranaddha Vacharathit1, R Matthew Walsh1, Kevin M. El-Hayek1
1Section of Hepato-Pancreato-Biliary Surgery, Digestive Diseases and Surgery Institute, Cleveland Clinic Ohio, Cleveland, OH; 2Department of Surgery, United Arab Emirates University, Al-Ain, Abu Dhabi, United Arab Emirates

Introduction: Malignant or pre-malignant periampullary lesions require resection. Options include endoscopic and surgical approaches, however minimally invasive surgery (MIS) is preferred when endoscopic removal is not feasible.
Methods: We report the result of a 59 year-old morbidly obese female with an incidental periampullary mass not amenable to endoscopic resection.
Results: Complete MIS excision of the lesion was performed without perioperative complications. An enhanced recovery after surgery (ERAS) protocol was used. The patient was discharged on post-operative day 3.
Conclusion: Minimally invasive surgery allows for early recovery and
discharge when complemented with ERAS principles.


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