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Laparoscopic liver resection for liver metastasis of leiomyosarcoma of the thigh : a case report

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Title: Laparoscopic liver resection for liver metastasis of leiomyosarcoma of the thigh : a case report
Authors: Tsuzaka, Shoichi Browse this author
Asahi, Yoh Browse this author
Kamiyama, Toshiya Browse this author →KAKEN DB
Kakisaka, Tatsuhiko Browse this author →KAKEN DB
Orimo, Tatsuya Browse this author
Nagatsu, Akihisa Browse this author
Aiyama, Takeshi Browse this author
Uebayashi, Takeyuki Browse this author
Kamachi, Hirofumi Browse this author
Matsuoka, Masatake Browse this author
Wakabayashi, Kento Browse this author
Otsuka, Takuya Browse this author
Matsuno, Yoshihiro Browse this author →KAKEN DB
Taketomi, Akinobu Browse this author →KAKEN DB
Keywords: Laparoscopic liver resection
Liver metastasis of leiomyosarcoma
Liver metastasis of leiomyosarcoma of the thigh
Issue Date: 21-Mar-2022
Publisher: Springer
Journal Title: Surgical case reports
Volume: 8
Issue: 1
Start Page: 47
Publisher DOI: 10.1186/s40792-022-01400-1
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.
Type: article
URI: http://hdl.handle.net/2115/85519
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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