J Korean Surg Soc.
2008 Mar;74(3):228-232.
Laparoscopic Wedge Resection of GISTs Involving the Second Portion of the Duodenum
- Affiliations
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- 1Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. skygs@catholic.ac.kr
- 2Department of Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
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The optimal surgical procedure for treatment of gastrointestinal stromal tumors (GISTs) of the duodenum remains undefined. Therefore, various surgical procedures have been introduced as treatment options for duodenal GISTs. Due to the anatomical complexity, the laparoscopic approach has been considered as a contraindication. Especially for GISTs located at the second portion of the duodenum, a laparoscopic wedge resection is technically difficult to perform. We describe the surgical technique of laparoscopic wedge resection with hand-sewn closure for GISTs that involve the second portion of the duodenum.