{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T23:12:36Z","timestamp":1779145956703,"version":"3.51.4"},"reference-count":38,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,6,13]],"date-time":"2018-06-13T00:00:00Z","timestamp":1528848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,6,13]],"date-time":"2018-06-13T00:00:00Z","timestamp":1528848000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although organ\u2010preserving operations are regarded as effective strategies for duodenal gastrointestinal stromal tumors (GISTs), laparoscopic partial sleeve duodenectomy (lap PSD) has not been fully evaluated. The aims of this study were to evaluate the effectiveness and technical feasibility of lap PSD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Between January 2011 and March 2016, we reviewed 13 patients who underwent laparoscopic approach among 22 patients who underwent PSD. PSD for the infra\u2010ampullary lesions was defined as infra\u2010ampullary duodenal resection including the first portion of the jejunum. After resection, all patients underwent reconstruction via side\u2010to\u2010side duodenojejunostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total mean operation time was 273\u00a0min (range 160\u2013346\u00a0min), and estimated mean blood loss was 80\u00a0ml (range scanty\u2010200\u00a0ml). One patient was converted to open laparotomy because of mesocolonic tumor involvement. The median postoperative hospital stay was 10.5\u00a0days (range 4\u201336\u00a0days). There were no postoperative mortalities. Postoperative complications included 2\u00a0instances of delayed gastric emptying (DGE), 1 duodenojejunostomy stricture, and 2\u00a0intestinal obstructions. No patient was treated with adjuvant therapy. One patient experienced hepatic metastasis 28\u00a0months after surgery during a mean follow\u2010up period of 48.6\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lap PSD might be an oncologically effective strategy for duodenal GIST, and the laparoscopic approach is a technically feasible and appealing surgical modality in terms of safety and perioperative results. However, DGE and anastomosis strictures are concerns for postoperative complications, which need to be further investigated.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-018-4707-6","type":"journal-article","created":{"date-parts":[[2018,6,13]],"date-time":"2018-06-13T14:27:50Z","timestamp":1528900070000},"page":"4005-4013","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Laparoscopic Partial Sleeve Duodenectomy for the Infra\u2010Ampullary Gastrointestinal Stromal Tumors of the Duodenum"],"prefix":"10.1002","volume":"42","author":[{"given":"Sung Hoon","family":"Choi","sequence":"first","affiliation":[{"name":"Division of Hepatobiliary and Pancreas, Department of Surgery, CHA Bundang Medical Center CHA University Seongnam Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiae","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Surgery National Police Hospital 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