Surgical Principles for Small Bowel Neuroendocrine Tumor Resection

Small bowel neuroendocrine tumors (SB-NETs) are increasingly identified and have become the most frequent entity among small bowel tumors. Surgical treatment goals include control of tumor volume, endocrine secretion, and prevention of locoregional complications. The study presents eight steps for systematic surgical planning and execution of resection. The role of primary tumor resection in the presence of liver metastasis is still unclear. Feasibility of minimally invasive surgery is emerging, with undetermined selection criteria and long-term outcomes. Resection of SB-NETs should be considered in all eligible patients, following appropriate surgical oncological control principles.