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Case Reports
. 2023 May 4;2023(5):rjad220.
doi: 10.1093/jscr/rjad220. eCollection 2023 May.

Duodenal lipoma: robotic-assisted approach

Ryan Alghanemi  1 , Zülküf Tekin  1
Affiliations
Case Reports

Duodenal lipoma: robotic-assisted approach

Ryan Alghanemi et al. J Surg Case Rep. .

Abstract

Lipomas are one of the most common benign tumors of the gastrointestinal tract, typically found in the small and large intestine. While most cases are asymptomatic and discovered incidentally, large duodenal lipomas are rare and present a unique set of diagnostic and management challenges due to their complex anatomic relationships with other vital structures. Endoscopic removal of large lipomas carries a risk of bleeding and can be difficult to access. To address these issues, robotic-assisted surgical approaches have been proposed as a viable alternative to laparoscopy, as demonstrated in this case.

Keywords: Gastrointestinal tumors; Lipoma; Robotic surgery; duodenum.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
(a) and (b) CT-Abdomen, showing duodenal mass ⁓7.4 × 4.4 cm pressing the Pylorus.
Figure 2
Figure 2
(a) After surgical preparation, the duodenum is exposed and prepared through Kocher maneuver for robotic-assisted duodenotomy. (b) The Lipoma is revealed after the duodenotomy is completed. (c) The Lipoma is then transduodenally resected. (d) The duodenotomy is then repaired in two layers, transversely.
See this image and copyright information in PMC

References

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