# Laparoscopic Transduodenal Ampullectomy for a High-Grade Dysplasia Tumor

## TL;DR

A 74-year-old man with an incomplete endoscopic resection of a high-grade dysplasia tumor in the ampulla of Vater underwent a laparoscopic transduodenal ampullectomy.

## Contribution

Demonstrates the feasibility and safety of laparoscopic transduodenal ampullectomy in selected cases with incomplete endoscopic resection.

## Key findings

- Laparoscopic transduodenal ampullectomy was successfully performed in a patient with high-grade dysplasia.
- The procedure was feasible and safe in a well-selected patient after failed endoscopic resection.
- This case highlights an alternative to open surgery for ampullary tumors.

## Abstract

Ampullary tumors occur rarely, and the only curative treatment is resection. The endoscopic approach is the most well-known and common treatment of choice. Open surgical resection is the usual treatment of choice in cases of unsuccessful endoscopic resection and big tumors. Although the technically challenging laparoscopic approach is not yet widespread, it is a feasible and safe method in well-selected patients. This case report focuses on the case of a 74-year-old male with high-grade dysplasia in the ampulla of Vater, who had an incomplete endoscopic resection. Therefore, we performed a laparoscopic transduodenal ampullectomy.