Pure laparoscopic posterior sectionectomy for liver metastasis resulting from choroidal malignant melanoma: a case report.

Akira Umemura, Hiroyuki Nitta, Akira Sasaki, Takeshi Takahara, Yasushi Hasegawa, G. Wakabayashi

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2 Citations (Scopus)

Abstract

Liver metastases resulting from primary choroidal malignant melanomas occur frequently and have a poor prognosis. As a result of advancements in multidisciplinary approaches, life expectancy can be increased when R0 resection is possible. Herein we report the surgical outcomes of pure laparoscopic posterior sectionectomy (PLPS) in a patient with a solitary liver metastasis resulting from choroidal malignant melanoma. The subject was a 46-year-old Japanese man who had received radiotherapy for primary right choroidal malignant melanoma 2 years before presenting at our hospital; he subsequently underwent ophthalmectomy as a result of the relapse. During follow-up, CT revealed a metastatic lesion in the liver S7, and interventional treatments were performed sequentially. The lesion still showed a tendency to enlarge, so we performed PLPS. On postoperative day 7, the patient was discharged from the hospital, and he started to receive adjuvant chemotherapy 2 weeks after PLPS. Although PLPS is deemed to be difficult for lesions in the upper part or posterior segment of the liver, we performed this modality safely.

Original languageEnglish
Pages (from-to)318-321
Number of pages4
JournalAsian journal of endoscopic surgery
Volume6
Issue number4
DOIs
Publication statusPublished - 2013 Nov
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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