Short- and long-term outcomes of laparoscopic endoscopic cooperative surgery for duodenal neoplasms : a retrospective single-center study

Sekiya, Sho; Kushibiki, Toshihiro; Okawa, Yuki et al.

Surgical endoscopy and other interventional techniques, 2025, 39(10), 6685-6691

Permalink : https://hdl.handle.net/2115/98039

このアイテムのアクセス数:11件（2026-09-06 09:01 集計）

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アクセス権
open access
URI
https://hdl.handle.net/2115/98039
タイトル
Short- and long-term outcomes of laparoscopic endoscopic cooperative surgery for duodenal neoplasms : a retrospective single-center study
著者
Sekiya, Sho ; Kushibiki, Toshihiro ; Okawa, Yuki ; Miyasaka, Mamoru ; Saikawa, Daisuke ; Teramura, Koichi ; Hayashi, Satoshi ; Suzuki, Yoshinori ; Kawada, Masaya ; Kawarada, Yo ; Sumiyoshi, Tetsuya ; Kitashiro, Shuji ; Kaga, Kichizo ; Okushiba, Shunichi ; Hirano, Satoshi
著者名
Sekiya, Sho
著者名
Kushibiki, Toshihiro
著者名
Okawa, Yuki
著者名
Miyasaka, Mamoru
著者名
Saikawa, Daisuke
著者名
Teramura, Koichi
著者名
Hayashi, Satoshi
著者名
Suzuki, Yoshinori
著者名
Kawada, Masaya
著者名
Kawarada, Yo
著者名
Sumiyoshi, Tetsuya
著者名
Kitashiro, Shuji
著者名
Kaga, Kichizo
著者名
Okushiba, Shunichi
e-Rad_Researcher
50322813
著者名
Hirano, Satoshi
言語
英語
キーワード
Laparoscopic endoscopic cooperative surgery
D-LECS
Non-ampullary duodenal tumors
Endoscopic submucosal dissection
発行日
2025-08-21
出版者
Springer
収録物名
Surgical endoscopy and other interventional techniques
巻(号)
39(10)
ページ
6685-6691
抄録
Background Non-ampullary duodenal tumors are relatively rare; however, advancements in esophagogastroduodenoscopy have improved their detection. Endoscopic resection is effective for treating adenomas and early-stage cancers without lymph node involvement. However, challenges include assessing tumor invasion depth, achieving complete resection, and managing postoperative complications such as delayed perforation. Consequently, laparoscopic endoscopic cooperative surgery (D-LECS) was introduced, but data on its long-term outcomes remain limited. Methods This retrospective study reviewed 18 cases of D-LECS performed between June 2016 and October 2024 at Tonan Hospital. Included patients had non-ampullary duodenal tumors-adenoma, mucosal adenocarcinoma, or neuroendocrine neoplasms-without lymph node involvement. Surgical outcomes, complications, and follow-up data were analyzed. Results The median patient age was 65.5 years, and 14 patients were male. Tumors were located in the first (4 cases), second (11 cases), and third (3 cases) portions of the duodenum. The median operative time was 233 min, longer in the reinforcement after endoscopic submucosal dissection group than in the full-thickness resection group (289 vs. 221 min, P = 0.37). A Clavien-Dindo grade >= 3a complication occurred only in the first case, involving delayed perforation. The median hospital stay was 12 days. En-bloc and R0 resection rates were 83.3 and 92.9%, respectively. No long-term complications, including stricture or recurrence, were observed over a median follow-up of 37 months. Conclusions D-LECS demonstrated favorable short- and long-term outcomes for non-ampullary duodenal tumors, with high en-bloc and R0 resection rates. These findings suggest that D-LECS is a viable treatment option for selected duodenal tumors.
資源タイプ
学術雑誌論文
出版タイプ
Accepted Manuscript
権利情報
This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s00464-025-12097-2
PISSN
0930-2794
関連情報 (isVersionOf)
出版社版DOI
https://doi.org/10.1007/s00464-025-12097-2