マエダ シンスケ   MAEDA Shinsuke
  前田 新介
   所属   医学部 医学科(東京女子医科大学病院)
   職種   助教
論文種別 症例報告
言語種別 英語
査読の有無 査読なし
表題 Laparoscopic and endoscopic co-operative surgery for a non-ampullary duodenal tumor after living-donor liver transplantation: a case report
掲載誌名 正式名:Journal of surgical case reports
略  称:J Surg Case Rep
ISSNコード:20428812/20428812
掲載区分国外
巻・号・頁 2025(1),pp.rjaf023
著者・共著者 ITO Shunichi, TAMAZAKI Rinka, MAEDA Shinsuke, HOSODA Kei
発行年月 2025/01
概要 Superficial duodenal epithelial tumors were previously considered rare. Laparoscopic and endoscopic cooperative surgery for duodenal tumors (D-LECS) has been developed to achieve successful endoscopic treatment. Patients who have undergone living-donor liver transplantation (LDLT) may have severe abdominal adhesions, and immunosuppressive agents (IAs) may affect the degree of postoperative abdominal adhesions and wound healing, but their effects remain unclear. Herein, we present the first case of D-LECS for duodenal adenoma after LDLT. A 66-year-old man underwent D-LECS for a non-ampullary duodenal high-grade adenoma after LDLT with an IA. The patient's condition was uneventful 36 months after the surgery. In gastrointestinal surgery, IAs may affect the resected duodenal repair process. For duodenal neoplasms in high-risk patients, D-LECS may be better than endoscopic submucosal dissection alone. D-LECS after LDLT is a feasible and less invasive procedure.
DOI 10.1093/jscr/rjaf023
PMID 39845523