AI Article Synopsis
- A patient with an adenoma in the horizontal duodenum was successfully treated using a transmesenteric laparoscopic endoscopic cooperative surgery (LECS) approach.
- This method involved cutting into the colon's mesentery, allowing better laparoscopic access while keeping other parts of the duodenum stable and fixed.
- Benefits of the LECS approach include improved visibility during surgery, reduced risk of damaging major blood vessels, and minimized intestinal incision damage.
Article Abstract
We report our experience in a patient with adenoma located in the horizontal part of the duodenum, which was effectively treated with the transmesenteric laparoscopic endoscopic cooperative surgery (LECS) approach. This approach, which entails incising the mesentery of the colon, simplified laparoscopic access to the horizontal part of the duodenum, which was minimally mobilized. Thus, the bulb and descending part of the duodenum were fixed to the retroperitoneum, facilitating stable handling of the endoscope and enabled safe and effective excision of an adenoma located in the horizontal part of the duodenum. This approach enabled safe and effective excision of an adenoma located in the horizontal part of the duodenum. The advantages of this method include a secure field of view, lower probability of damage to large vessels, and minimizing the defect to the intestine caused by the incision.
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| http://dx.doi.org/10.1111/ases.13228 | DOI Listing |
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