Laparoscopic liver resection for liver metastasis of leiomyosarcoma of the thigh: a case report
Abstract Background Although there is no established treatment strategy for liver metastasis of leiomyosarcoma, liver resection has been reported to be effective in some cases. However, almost all liver resections performed for liver metastasis of primary leiomyosarcoma are reported to be open resec...
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Japan Surgical Society
2022-03-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01400-1 |
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| author | Shoichi Tsuzaka Yoh Asahi Toshiya Kamiyama Tatsuhiko Kakisaka Tatsuya Orimo Akihisa Nagatsu Takeshi Aiyama Takeyuki Uebayashi Hirofumi Kamachi Masatake Matsuoka Kento Wakabayashi Takuya Otsuka Yoshihiro Matsuno Akinobu Taketomi |
| author_facet | Shoichi Tsuzaka Yoh Asahi Toshiya Kamiyama Tatsuhiko Kakisaka Tatsuya Orimo Akihisa Nagatsu Takeshi Aiyama Takeyuki Uebayashi Hirofumi Kamachi Masatake Matsuoka Kento Wakabayashi Takuya Otsuka Yoshihiro Matsuno Akinobu Taketomi |
| author_sort | Shoichi Tsuzaka |
| collection | DOAJ |
| description | Abstract Background Although there is no established treatment strategy for liver metastasis of leiomyosarcoma, liver resection has been reported to be effective in some cases. However, almost all liver resections performed for liver metastasis of primary leiomyosarcoma are reported to be open resections, and there are few reports of liver resection performed by laparoscopy. Here, we report a case of laparoscopic liver resection for liver metastasis of a leiomyosarcoma in the right thigh. Case presentation An 80-year-old man was diagnosed with leiomyosarcoma of the right thigh with liver metastasis. The primary tumor was first resected, and he was discharged on the 25th postoperative day. Four months after primary tumor resection, a laparoscopic right posterior sectionectomy was performed. There were no postoperative complications, and the patient was discharged on the 11th postoperative day with a histopathological diagnosis of liver metastasis of leiomyosarcoma and negative resection margins. Currently, 9 months have passed since the resection of the primary tumor, and 5 months have passed since the laparoscopic liver resection; there is no recurrence. Conclusions The liver metastasis of leiomyosarcoma was successfully removed, with good short-term outcomes after the laparoscopic liver resection. Laparoscopic liver resection seems to be effective for liver metastasis of leiomyosarcoma, which is characterized by a high recurrence rate after surgery. However, more case studies may be necessary to examine the effectiveness and long-term results of laparoscopic liver resection for the treatment of liver metastasis of leiomyosarcoma. |
| format | Article |
| id | doaj-art-e7423c553d9b4a45b85552ca56dc8e9c |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2022-03-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-e7423c553d9b4a45b85552ca56dc8e9c2025-08-20T03:38:53ZengJapan Surgical SocietySurgical Case Reports2198-77932022-03-01811710.1186/s40792-022-01400-1Laparoscopic liver resection for liver metastasis of leiomyosarcoma of the thigh: a case reportShoichi Tsuzaka0Yoh Asahi1Toshiya Kamiyama2Tatsuhiko Kakisaka3Tatsuya Orimo4Akihisa Nagatsu5Takeshi Aiyama6Takeyuki Uebayashi7Hirofumi Kamachi8Masatake Matsuoka9Kento Wakabayashi10Takuya Otsuka11Yoshihiro Matsuno12Akinobu Taketomi13Department of Gastroenterological Surgery I, Hokkaido University HospitalDepartment of Gastroenterological Surgery I, Hokkaido University HospitalDepartment of Gastroenterological Surgery I, Hokkaido University HospitalDepartment of Gastroenterological Surgery I, Hokkaido University HospitalDepartment of Gastroenterological Surgery I, Hokkaido University HospitalDepartment of Gastroenterological Surgery I, Hokkaido University HospitalDepartment of Gastroenterological Surgery I, Hokkaido University HospitalDepartment of Gastroenterological Surgery I, Hokkaido University HospitalDepartment of Gastroenterological Surgery I, Hokkaido University HospitalDepartment of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido UniversityDepartment of Surgical Pathology, Hokkaido University HospitalDepartment of Surgical Pathology, Hokkaido University HospitalDepartment of Surgical Pathology, Hokkaido University HospitalDepartment of Gastroenterological Surgery I, Hokkaido University HospitalAbstract Background Although there is no established treatment strategy for liver metastasis of leiomyosarcoma, liver resection has been reported to be effective in some cases. However, almost all liver resections performed for liver metastasis of primary leiomyosarcoma are reported to be open resections, and there are few reports of liver resection performed by laparoscopy. Here, we report a case of laparoscopic liver resection for liver metastasis of a leiomyosarcoma in the right thigh. Case presentation An 80-year-old man was diagnosed with leiomyosarcoma of the right thigh with liver metastasis. The primary tumor was first resected, and he was discharged on the 25th postoperative day. Four months after primary tumor resection, a laparoscopic right posterior sectionectomy was performed. There were no postoperative complications, and the patient was discharged on the 11th postoperative day with a histopathological diagnosis of liver metastasis of leiomyosarcoma and negative resection margins. Currently, 9 months have passed since the resection of the primary tumor, and 5 months have passed since the laparoscopic liver resection; there is no recurrence. Conclusions The liver metastasis of leiomyosarcoma was successfully removed, with good short-term outcomes after the laparoscopic liver resection. Laparoscopic liver resection seems to be effective for liver metastasis of leiomyosarcoma, which is characterized by a high recurrence rate after surgery. However, more case studies may be necessary to examine the effectiveness and long-term results of laparoscopic liver resection for the treatment of liver metastasis of leiomyosarcoma.https://doi.org/10.1186/s40792-022-01400-1Laparoscopic liver resectionLiver metastasis of leiomyosarcomaLiver metastasis of leiomyosarcoma of the thigh |
| spellingShingle | Shoichi Tsuzaka Yoh Asahi Toshiya Kamiyama Tatsuhiko Kakisaka Tatsuya Orimo Akihisa Nagatsu Takeshi Aiyama Takeyuki Uebayashi Hirofumi Kamachi Masatake Matsuoka Kento Wakabayashi Takuya Otsuka Yoshihiro Matsuno Akinobu Taketomi Laparoscopic liver resection for liver metastasis of leiomyosarcoma of the thigh: a case report Surgical Case Reports Laparoscopic liver resection Liver metastasis of leiomyosarcoma Liver metastasis of leiomyosarcoma of the thigh |
| title | Laparoscopic liver resection for liver metastasis of leiomyosarcoma of the thigh: a case report |
| title_full | Laparoscopic liver resection for liver metastasis of leiomyosarcoma of the thigh: a case report |
| title_fullStr | Laparoscopic liver resection for liver metastasis of leiomyosarcoma of the thigh: a case report |
| title_full_unstemmed | Laparoscopic liver resection for liver metastasis of leiomyosarcoma of the thigh: a case report |
| title_short | Laparoscopic liver resection for liver metastasis of leiomyosarcoma of the thigh: a case report |
| title_sort | laparoscopic liver resection for liver metastasis of leiomyosarcoma of the thigh a case report |
| topic | Laparoscopic liver resection Liver metastasis of leiomyosarcoma Liver metastasis of leiomyosarcoma of the thigh |
| url | https://doi.org/10.1186/s40792-022-01400-1 |
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