ఆర్కైవ్స్ ఆఫ్ సర్జికల్ ఆంకాలజీ

Preoperative Endoscopic Tattooing for Laparoscopic Subtotal Gastrectomy as a Conservative Approach in Type 1 Neuroendocrine Tumour

Abstract

Dr. Veronica Salais

Background Neuroendocrine tumours are rare lesions most typically found incidentally in examination procedures manifested as submucosal lesions or tiny polyps. Incidence is rumoured around one-2 cases for each 1,000,000. Most of sort one system tumours are found as tiny polyps situated at either anatomical structure or viscus corpus. We gift a case of a forty-eight-year previous male with history of blood vessel cardiovascular disease, with severe malignant anaemia and stool that examination procedure was invited. examination findings were symptom inflammation and 2 tiny viscus polyps Paris ISSP and Is. Pathology rumoured sort one system tumour. because of the absence of metastasis or locoregional invasion, conservative management was done via laparoscopic subtotal surgical operation with previous examination submucosal tattoo delimiting the distal and proximal borders of malady. lastly associate optimum treatment for sort one system tumours is controversial. Conservative management is associate accepted conduct in cases wherever native malady is confirmed. a technique higher to raise to higher} optimize the operation is to be able to better determine the affected viscus areas via examination marking. Discussion & Conclusion Neuroendocrine tumours are rare entities for which it is essential to have a high index of suspicion in order to carry out a correct diagnostic and therapeutic approach according to what is established in the clinical guidelines. Their management is based on the tumour subtype and histological features, the extent of locoregional spread, and the presence of metastasis. In the case presented, the diagnostic and therapeutic approach was discussed by our interdisciplinary team since the initial report of gastric adenocarcinoma was not consistent which the clinical presentation and endoscopic findings. Also, in areas where endoscopic ultrasound is hard to perform, imaging and surgical valuation becomes important in defining the extent of invasion. Therefore, we opted for a subtotal gastrectomy with the help of endoscopic tattooing in order to limit the resection area. This being a useful technique to offer patients a better quality of life as well as a speedy recovery