Hsu SD, Wu HS, Kuo CL, Lee YT. Robotic-assisted laparoscopic resection of ectopic pancreas in the posterior wall of gastric high body: Case report and review of the literature. World J Gastroenterol 2005; 11(48): 7694-7696 [PMID: 16437703 DOI: 10.3748/wjg.v11.i48.7694]
Corresponding Author of This Article
Dr Yueh-Tsung Lee, Division of General Surgery, Department of Surgery, Show-Chwan Memorial Hospital, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, China. f1233j@yahoo.com.tw
Article-Type of This Article
Case Report
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World J Gastroenterol. Dec 28, 2005; 11(48): 7694-7696 Published online Dec 28, 2005. doi: 10.3748/wjg.v11.i48.7694
Robotic-assisted laparoscopic resection of ectopic pancreas in the posterior wall of gastric high body: Case report and review of the literature
Sheng-Der Hsu, Hurng-Sheng Wu, Chien-Long Kuo, Yueh-Tsung Lee
Sheng-Der Hsu, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, China
Chien-Long Kuo, Department of Pathology, Show-Chwan Memorial Hospital, Changhua, Taiwan, China
Hurng-Sheng Wu, Division of General Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan; Division of General Surgery, Department of Surgery, Show-Chwan Memorial Hospital, Changhua, Taiwan, China
Yueh-Tsung Lee, Division of General Surgery, Department of Surgery, Show-Chwan Memorial Hospital, Changhua, Taiwan, China
Author contributions: All authors contributed equally to the work.
Correspondence to: Dr Yueh-Tsung Lee, Division of General Surgery, Department of Surgery, Show-Chwan Memorial Hospital, No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, China. f1233j@yahoo.com.tw
Telephone: +886-2-8792-7191
Received: January 24, 2005 Revised: June 13, 2005 Accepted: June 18, 2005 Published online: December 28, 2005
Abstract
Minimally invasive surgery has revolutionized the treatment of gastrointestinal tumors. Submucosal tumors of the stomach can be resected using laparoscopic techniques. We report here a case of ectopic pancreas tissue in the gastric wall that was removed using robotic-assisted laparoscopic resection. The patient was a 15-year-old female who presented with abdominal discomfort and tarry stools. Laboratory analysis showed iron deficiency anemia. Preoperative endoscopy revealed a submucosal lesion in the posterior wall of the gastric high body. Intraoperative upper endoscopy clearly located the lesion. A robotic-assisted laparoscopic wedge resection of the putative gastric submucosal tumor was performed. The pathology results showed an ectopic pancreas. The patient had an uneventful recovery and we believe that this is a valid treatment option for this benign condition.
