Abstract
Endoscopic resection of large superficial nonampullary duodenal tumors is clinically challenging as the unique anatomical features of the duodenum (thin wall, narrow lumen, exposure to biliary and pancreatic fluids, and small operating space) increase the risks of intra- and post-procedural complications [1]. As conventional surgical methods of resecting superficial nonampullary duodenal tumors are associated with high morbidity and mortality [2], novel combined laparoscopic and endoscopic approaches have recently been developed in specialized centers in an attempt to overcome these limitations [3] [4].
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