ArticleSurgical case reports2025
Jejunal Enterotomy for Specimen Retrieval in D-LECS: A Case Report.
Article in Surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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13 authors.
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Abstract
introductionLaparoscopic and endoscopic cooperative surgery for duodenal tumors (D-LECS) combines endoscopic submucosal dissection (ESD) with laparoscopic reinforcement, offering a minimally invasive option for superficial non-ampullary duodenal tumors. However, oral retrieval of resected specimens may be difficult for large or firm tumors, risking fragmentation and compromised pathological assessment. CASE PRESENTATION: We report a case involving a 42-year-old woman with a 40-mm villous tumor in the second portion of the duodenum. Due to the size of the tumor, D-LECS (ESD with laparoscopic reinforcement) was contemplated. After successful ESD, the specimen could not be retrieved orally due to non-passage through the pyloric ring. To preserve
conclusionsThis case demonstrates that jejunal exteriorization and controlled enterotomy is a safe and practical alternative in D-LECS when oral extraction is unfeasible, enabling accurate pathological evaluation while preserving minimally invasive benefits.
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