TY - JOUR
AR - SCR-2020-8-121
TI - Multimodal and Mini-Invasive Treatment of a Multifocal Metastatic Mid-Gut Neuroendocrine Tumor: A Surgical Case Report
AU - Annamaria, Ruggieri
AU - Fabrizio, Gambarini
AU - Carlo, D’Angelo
AU - Benedetta, Montagna
AU - Guido, Poggi
AU - Mario, Martinotti
JO - Surgical Case Reports
PY - 2020
DA - Mon 31, Aug 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.08.21
UR - https://www.sciencerepository.org/multimodal-and-mini-invasive-treatment-of-a-multifocal-metastatic_SCR-2020-8-121 
KW - Neuroendocrine tumors, nodal dissection, laparoscopic ileal dissection
AB - 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.