2011 Volume 31 Issue 7 Pages 993-997
Endoscopic submucosal resection (ESD) for duodenal lesions is difficult with the potential for the complication of perforation. In contrast, with laparoscopic resection for duodenal lesions, it is difficult to make a firm decision regarding the extent of resection required. Laparoscopic-endoscopic cooperative surgery (LECS) for gastric submucosal tumors was reported by Hiki et al. We performed a surgical approach with minimal invasion and excellent outcome for the removal of duodenal lesions using LECS. LECS for duodenal lesions was performed in 4 patients with adenomas (n3) and gastrointestinal stromal tumor (n=1). Conversion to open surgery was carried out in one patient. The postoperative courses in all cases were uneventful. The LECS approach is safe and curative for the removal of duodenal lesions.
