{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T20:11:57Z","timestamp":1790971917912,"version":"4.1.0"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2002A delayed perforation can often occur after endoscopic treatment for duodenal neoplasms and may be fatal due to leakage of pancreatic and bile juices. We aimed to evaluate the feasibility and safety of laparoscopic and endoscopic cooperative surgery for duodenal neoplasms (D-LECS) in a multicenter, retrospective study.<\/jats:p><jats:p>\n          Methods\u2002The clinical characteristics and surgical outcomes of 206 patients with duodenal neoplasms in whom D-LECS had initially been attempted at one of 14 institutions were reviewed retrospectively. <\/jats:p><jats:p>\n          Results\u2002Of the 206 patients, 63 (30.6\u200a%), 128 (62.1\u200a%), and 15 patients (7.3\u200a%) had lesions at the bulb, second portion, and third portion of the duodenum, respectively. The rates of en bloc and R0 resections during D-LECS were 96.1\u200a% and 95.1\u200a%, respectively. Intraoperative and delayed perforations occurred in 10 (4.9\u200a%) and 5 patients (2.4\u200a%), respectively. No cases of recurrence were observed. Surgical duration of \u2265\u200a180 minutes was an independent risk factor for postoperative complications.<\/jats:p><jats:p>\n          Conclusions\u2002The results revealed that D-LECS was performed with oncological safety and technical feasibility.<\/jats:p>","DOI":"10.1055\/a-1327-5939","type":"journal-article","created":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T20:21:47Z","timestamp":1606940507000},"page":"1065-1068","source":"Crossref","is-referenced-by-count":48,"title":["Safety and feasibility of laparoscopic and endoscopic cooperative surgery for duodenal neoplasm: a retrospective multicenter study"],"prefix":"10.1055","volume":"53","author":[{"given":"Souya","family":"Nunobe","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Cancer Institute Ariake Hospital, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motonari","family":"Ri","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Cancer Institute Ariake Hospital, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimiyasu","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Division of Gastroenterological and General Surgery, Department of Surgery, School of Medicine, Showa University, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanao","family":"Uraoka","sequence":"additional","affiliation":[{"name":"Department of Endoscopy, Kishiwada Tokusyukai Hospital, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Ohata","sequence":"additional","affiliation":[{"name":"Department of Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iwao","family":"Kitazono","sequence":"additional","affiliation":[{"name":"Cardiovascular and Gastroenterological Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanori","family":"Terashima","sequence":"additional","affiliation":[{"name":"Division of Gastric Surgery, Shizuoka Cancer Center, Shizuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukinori","family":"Yamagata","sequence":"additional","affiliation":[{"name":"Department of Gastric Surgery, National Cancer Center Hospital, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Department of Advanced Medicine Research and Development Center for New Medical Frontiers, Kitasato University School of Medicine, Sagamihara, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobutsugu","family":"Abe","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kyorin University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshikatsu","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Ishikawa Prefectural Central Hospital, Ishikawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiko","family":"Niimi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirofumi","family":"Kawakubo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Keio University School of Medicine, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoya","family":"Tsukada","sequence":"additional","affiliation":[{"name":"Department of Surgery, Toyama Prefectural Central Hospital, Toyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuji","family":"Kitashiro","sequence":"additional","affiliation":[{"name":"Department of Surgery, Tonan Hospital, Sapporo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Ishizuka","sequence":"additional","affiliation":[{"name":"Department of Clinical Trial Planning and Management, Cancer Institute Ariake Hospital, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Hiki","sequence":"additional","affiliation":[{"name":"Department of Upper Gastrointestinal Surgery, Kitasato University School of Medicine, Sagamihara, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Society for the Study of Laparoscopic Endoscopic Cooperative Surgery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2021,2,4]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1016\/j.gie.2010.07.039","article-title":"Endoscopic predictors of successful endoluminal eradication in sporadic duodenal adenomas and its acute complications","volume":"72","author":"P Kedia","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref2","first-page":"129","article-title":"Clinical outcome of endoscopic resection for nonampullary duodenal tumors","volume":"47","author":"S Nonaka","year":"2015","journal-title":"Endoscopy"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1111\/den.12273","article-title":"Therapeutic outcomes of endoscopic resection for superficial non-ampullary duodenal tumor","volume":"26","author":"Y Yamamoto","year":"2014","journal-title":"Dig Endosc"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.1007\/s00464-007-9696-8","article-title":"Laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor dissection","volume":"22","author":"N Hiki","year":"2008","journal-title":"Surg Endosc"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1055\/s-0043-104526","article-title":"Laparoscopic and luminal endoscopic cooperative surgery can be a standard treatment for submucosal tumors of the stomach: a retrospective multicenter study","volume":"49","author":"T Matsuda","year":"2017","journal-title":"Endoscopy"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1007\/s10120-012-0146-5","article-title":"Successful application of laparoscopic and endoscopic cooperative surgery (LECS) for a lateral-spreading mucosal gastric cancer","volume":"15","author":"S Nunobe","year":"2012","journal-title":"Gastric Cancer"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1007\/s10120-013-0291-5","article-title":"Non-exposed endoscopic wall-inversion surgery as a novel partial gastrectomy technique","volume":"17","author":"T Mitsui","year":"2014","journal-title":"Gastric Cancer"},{"key":"ref8","first-page":"349","article-title":"Laparoscopic-endoscopic cooperative surgery for duodenal tumors: a unique procedure that helps ensure the safety of endoscopic submucosal dissection","volume":"47","author":"T Irino","year":"2015","journal-title":"Endoscopy"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1111\/j.1758-5910.2011.00120.x","article-title":"Successful treatment of duodenal carcinoid tumor by laparoscopy-assisted endoscopic full-thickness resection with lymphadenectomy","volume":"5","author":"N Abe","year":"2012","journal-title":"Asian J Endosc Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"239627","DOI":"10.1155\/2014\/239627","article-title":"Feasibility of endoscopy-assisted laparoscopic full-thickness resection for superficial duodenal neoplasms","volume":"2014","author":"K Ohata","year":"2014","journal-title":"ScientificWorldJournal"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1038\/ajg.2010.422","article-title":"Sporadic nonampullary duodenal adenoma in the natural history of duodenal cancer: a study of follow-up surveillance","volume":"106","author":"K Okada","year":"2011","journal-title":"Am J Gastroenterol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/j.gie.2009.11.043","article-title":"Nonampullary duodenal polyps: characteristics and endoscopic management","volume":"71","author":"R Abbass","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"ref13","first-page":"947","article-title":"Influence of pneumoperitoneum on tumor growth and pattern of intra-abdominal tumor spreading: in vivo study of a murine model","volume":"55","author":"M Y Shen","year":"2008","journal-title":"Hepatogastroenterology"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"E998","DOI":"10.1055\/a-0577-7546","article-title":"ESD versus EMR in non-ampullary superficial duodenal tumors: a systematic review and meta-analysis","volume":"6","author":"E P\u00e9rez-Cuadrado-Robles","year":"2018","journal-title":"Endosc Int Open"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/den.12104","article-title":"Delayed perforation: a hazardous complication of endoscopic resection for non-ampullary duodenal neoplasm","volume":"26","author":"T Inoue","year":"2014","journal-title":"Dig Endosc"}],"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1327-5939.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T05:50:25Z","timestamp":1660110625000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1327-5939"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,2]]},"references-count":15,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2021,9,22]]},"published-print":{"date-parts":[[2021,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1327-5939","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,12,2]]},"published":{"date-parts":[[2020,12,2]]}}}