Multimodal and Mini-Invasive Treatment of a Multifocal Metastatic Mid-Gut Neuroendocrine Tumor: A Surgical Case Report

Download Citation in txt Download Citation in bib Download Citation in ris

Author Info

Annamaria Ruggieri Fabrizio Gambarini Carlo D’Angelo Benedetta Montagna Guido Poggi Mario Martinotti

Corresponding Author

Annamaria Ruggieri
Department of General Surgery of Istituto di Cura Città di Pavia, Pavia, Italy

A B S T R A C T

Neuroendocrine tumors represent the most common small bowel malignancy. At the time of presentation, they often debut as metastatic disease. Consensus guidelines recommend a multimodal and multidisciplinary approach that includes punctual investigations, aggressive surgical resection of the primary tumor and the assessment of possible synchronous metastasis through surgical procedures or ablative techniques. This report details the case of a 77-year-old male with a multifocal mid-gut neuroendocrine tumor with nodal dissemination and synchronous hepatic metastasis. He underwent a laparoscopic procedure that included an ileal resection with intracorporeal side-to-side ileo-ileal anastomosis, a large mesenteric nodal dissection extended up to superior mesenteric vein, a laparoscopic dissection of hepatic metastasis and an ultra-soundguided thermal ablation of two hepatic metastasis. This case highlights the efficacy of laparoscopy, providing a mini-invasive radical treatment and the importance of an aggressive multimodal approach in facing a metastatic multifocal mid-gut neuroendocrine tumor.

Article Info

Article Type

Case Report

Publication history

Received: Tue 04, Aug 2020
Accepted: Tue 18, Aug 2020
Published: Mon 31, Aug 2020

Copyright

© 2023 Annamaria Ruggieri. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.08.21