Two cases of laparoscopic direct spiral closure of large defects in the second portion of the duodenum after laparoscopic endoscopic co-operative surgery.
- Saseem Poudel,
- Yuma Ebihara,
- Kimitaka Tanaka,
- Yo Kurashima,
- Soichi Murakami,
- Toshiaki Shichinohe,
- Satoshi Hirano
J Minim Access Surg 2017 Dec 11. Epub 2017 Dec 11.
Department of Gastroenterological Surgery II, Hokkaido University, Graduate School of Medicine, Sapporo, Japan.
Curative endoscopic resection of non-ampullary duodenal lesions, although possible, is challenging. In recent years, although a novel surgical technique named laparoscopic-endoscopic cooperative surgery (LECS), which combines laparoscopic and endoscopic techniques, has made the resection of nonampullary duodenal lesions relatively easier, closure of the defect is still controversial. We report two cases of the duodenal lesion which were closed using a novel technique for primary closure utilising the free wall of the duodenum. Read More