Totally Laparoscopic D2 Subtotal Gastrectomy with Hepatectomy and Cholecystectomy for Gastric Neuroendocrine Tumor with Liver Metastases

Brian K. P. Goh, MBBS, MMed, MSc, FRCS, Alvin K. H. Eng, MBBS, MMed, MSc, FRCS

Department of Surgery, Singapore General Hospital, Singapore (all authors). Duke-NUS Graduate Medical School, Singapore (Dr. Goh).

ABSTRACT

Synchronous resection of primary neuroendocrine tumors (NET) with liver metastases remains controversial, although recent studies have demonstrated its safety in select patients. Synchronous laparoscopic gastric and liver resection has been rarely reported. We report the case of a 65-year-old man who underwent successful simultaneous D2 subtotal gastrectomy with hepatectomy and cholecystectomy for metastatic gastric NET. This is the first reported case of totally laparoscopic simultaneous D2 gastrectomy with hepatectomy and cholecystectomy for metastatic gastric NET. Laparoscopic simultaneous gastrectomy and hepatectomy is feasible and safe in select patients with metastatic gastric NET.

Key Words: Laparoscopy, Hepatectomy, Gastrectomy, Simultaneous, Neuroendocrine tumor, liver, gastric, resection, carcinoid.

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