Int J Med Robot - Robotic resection of duodenal adenoma.

Tópicos

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Resumo

CKGROUND: Duodenal sporadic adenomatous polyps are rare findings during upper endoscopy. Resection is indicated due to their malignant potential.METHODS: A 55 year-old male patient was diagnosed with a 3 cm duodenal adenomatous polyp with low-grade dysplasia, which could not be safely resected by endoscopy. A transduodenal submucosal robotic-assisted polypectomy was performed.RESULTS: The operative time was 4.5 h, with an estimated blood loss of 200 ml. The patient had a normal bowel transit on postoperative day 3 and he was discharged on postoperative day 7. Three months follow-up was uneventful. The final histological finding revealed a completely resected duodenal adenomatous polyp without signs of malignancy.CONCLUSION: Robotic-assisted resection of duodenal polyps is a feasible technique that may be indicated for the local excision of duodenal lesions that cannot be endoscopically resected. Compared to the open and laparoscopic approach, it offers many technical advantages.

Resumo Limpo

ckground duoden sporad adenomat polyp rare find upper endoscopi resect indic due malign potentialmethod yearold male patient diagnos cm duoden adenomat polyp lowgrad dysplasia safe resect endoscopi transduoden submucos roboticassist polypectomi performedresult oper time h estim blood loss ml patient normal bowel transit postop day discharg postop day three month followup unev final histolog find reveal complet resect duoden adenomat polyp without sign malignancyconclus roboticassist resect duoden polyp feasibl techniqu may indic local excis duoden lesion endoscop resect compar open laparoscop approach offer mani technic advantag

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