In this video, we present the laparoscopic technique of pancreas-preserving segmental resection for GISTs of the 4th portion of the duodenum. A 54-year-old male presented with a polypoid mass of about 3 cm in diameter with a large base, in the 4th portion of the duodenum, about 4 cm from the ampulla. Multiple endoscopic biopsies were taken, and all were negative for adenocarcinoma. CT scan of the abdomen confirmed that the mass, suggestive of GIST, was limited to the duodenum, a limited part intraluminal and the vast majority in the duodenal wall. A laparoscopic segmental resection with a 3D video system was accomplished. The operation lasted 160 min. Recovery was uneventful.

在本视频中，我们介绍了对十二指肠第 4 部分 GIST 进行保留胰腺节段性切除术的腹腔镜技术。一名 54 岁男性，在十二指肠第 4 部分，距壶腹约 4 cm 处有一个直径约 3 cm、基部较大的息肉状肿块。进行了多次内窥镜活检，均呈腺癌阴性。腹部 CT 扫描证实，提示 GIST 的肿块仅限于十二指肠、腔内的有限部分和十二指肠壁的绝大多数。使用 3D 视频系统完成了腹腔镜节段切除术。手术持续了160分钟。恢复顺利。