LAPAROSCOPIC PARTIAL SLEEVE DUODENECTOMY FOR DUODENAL MASS
Molly Benolken*, John Stauffer
General Surgery, Mayo Clinic Department of Surgery, Rochester, MN
72-year-old male with a past medical history of esophageal stenosis and dysphagia with an incidental identification of a 3rd portion duodenal mass on upper endoscopy, tattoos were left proximally and distally. Biopsy identified a tubulovillous adenoma with high grade dysplasia. Patient underwent laparoscopic partial sleeve duodenectomy with cholecystectomy. Intraoperative cholangiogram showed flow from cystic duct to the proximal duodenum. Postoperative swallow study showed no extraluminal contrast with patent duodenojejunostomy. Final pathology confirmed tubulovillous adenoma with free margins. Patient was discharged postoperative day 3 without complications.
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