Laparoscopic-endoscopic cooperative surgery for a duodenal neuroendocrine tumor: A case report.

For neuroendocrine tumor G1, local resection is one of the primary treatment options. Endoscopic submucosal dissection has been proven to ensure complete resection with sufficient margins. However, duodenal endoscopic submucosal dissection has a high risk of duodenal perforation because of the thin duodenal wall and poor endoscopic maneuverability.

[The present situation of cancer patient's death at home whereas the hospital primarily engages in acute physical disorders].

Kohka Public Hospital(KPH), located in the southeast district of Shiga Prefecture, has been recognized for playing a major role in the care of acute physical disorders. KPH is also expected to have a central role in cancer treatment in the regional medical district. We have practiced home care on terminal cancer patients since before the establishment of palliative care team at KPH in 2008.