Laparoscopic resection of posterior duodenal bulb carcinoid tumor.

Duodenal carcinoid tumors are rare neuroendocrine foregut tumors that, in contrast to midgut carcinoid tumors, have a low metastatic potential. The majority can be resected endoscopically. This case details a 67-year old man presenting with a biopsy-proven carcinoid tumor located at the posterior superior aspect of the duodenal bulb which was not amenable to endoscopic resection. The patient underwent a laparoscopic resection of the tumor after precise localization using simultaneous laparoscopy and duodenoscopy, with reconstruction of the duodenotomy defect using intracorporeal suturing techniques. The authors present a case report and details of an operative technique that may be utilized on other operations of the duodenum.