Laparoscopic repeat liver resection for hepatic epithelioid hemangioendothelioma
Abstract Background Optimal treatment for patients with hepatic epithelioid hemangioendothelioma (HEHE) remains unclear. Laparoscopic repeat liver resection (LR) is a minimally invasive and potentially effective surgical option for multiple HEHEs. Case presentation A 42-year-old woman with no releva...
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Japan Surgical Society
2020-10-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-01036-z |
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| author | Fumihiro Terasaki Yusuke Yamamoto Teiichi Sugiura Yukiyasu Okamura Takaaki Ito Ryo Ashida Katsuhisa Ohgi Katsuhiko Uesaka |
| author_facet | Fumihiro Terasaki Yusuke Yamamoto Teiichi Sugiura Yukiyasu Okamura Takaaki Ito Ryo Ashida Katsuhisa Ohgi Katsuhiko Uesaka |
| author_sort | Fumihiro Terasaki |
| collection | DOAJ |
| description | Abstract Background Optimal treatment for patients with hepatic epithelioid hemangioendothelioma (HEHE) remains unclear. Laparoscopic repeat liver resection (LR) is a minimally invasive and potentially effective surgical option for multiple HEHEs. Case presentation A 42-year-old woman with no relevant history was admitted for multiple liver tumors. Six tumors were observed on T2-weighted magnetic resonance imaging (MRI) including one in S2, two in S3, two in S7, and one in S8. Pathological evaluation of percutaneous tumor biopsy tissue suggested a diagnosis of HEHE and laparoscopic LR was planned. The procedure began with partial resection of S7 and partial resection of S8 and left lateral sectionectomy were performed. Another tumor was found intraoperatively on the surface of S6, necessitating removal by partial resection. Pathological evaluation of the resected tumor tissue from all seven tumors concurred with that of the preoperative biopsy. The patient was discharged on postoperative day 6 without any complications. A follow-up MRI 15 months after the primary surgery revealed one tumor each in S4, S6, and S8. Laparoscopic repeat LR was performed. The patient was discharged on postoperative day 5 without any complications. All three recurrent tumors were pathologically confirmed as HEHEs. Conclusions We successfully treated primary and recurrent HEHEs with laparoscopic LR, which is a reasonable minimally invasive procedure considering the possibility of multiple courses of liver surgery in patients with HEHE. |
| format | Article |
| id | doaj-art-2d40fd8a2c5e4bea9f5b5205105a1b86 |
| institution | Matheson Library |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-2d40fd8a2c5e4bea9f5b5205105a1b862025-07-02T05:10:52ZengJapan Surgical SocietySurgical Case Reports2198-77932020-10-01611710.1186/s40792-020-01036-zLaparoscopic repeat liver resection for hepatic epithelioid hemangioendotheliomaFumihiro Terasaki0Yusuke Yamamoto1Teiichi Sugiura2Yukiyasu Okamura3Takaaki Ito4Ryo Ashida5Katsuhisa Ohgi6Katsuhiko Uesaka7Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterDivision of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer CenterAbstract Background Optimal treatment for patients with hepatic epithelioid hemangioendothelioma (HEHE) remains unclear. Laparoscopic repeat liver resection (LR) is a minimally invasive and potentially effective surgical option for multiple HEHEs. Case presentation A 42-year-old woman with no relevant history was admitted for multiple liver tumors. Six tumors were observed on T2-weighted magnetic resonance imaging (MRI) including one in S2, two in S3, two in S7, and one in S8. Pathological evaluation of percutaneous tumor biopsy tissue suggested a diagnosis of HEHE and laparoscopic LR was planned. The procedure began with partial resection of S7 and partial resection of S8 and left lateral sectionectomy were performed. Another tumor was found intraoperatively on the surface of S6, necessitating removal by partial resection. Pathological evaluation of the resected tumor tissue from all seven tumors concurred with that of the preoperative biopsy. The patient was discharged on postoperative day 6 without any complications. A follow-up MRI 15 months after the primary surgery revealed one tumor each in S4, S6, and S8. Laparoscopic repeat LR was performed. The patient was discharged on postoperative day 5 without any complications. All three recurrent tumors were pathologically confirmed as HEHEs. Conclusions We successfully treated primary and recurrent HEHEs with laparoscopic LR, which is a reasonable minimally invasive procedure considering the possibility of multiple courses of liver surgery in patients with HEHE.http://link.springer.com/article/10.1186/s40792-020-01036-zLaparoscopyLiver resectionHepatic epithelioid hemangioendothelioma |
| spellingShingle | Fumihiro Terasaki Yusuke Yamamoto Teiichi Sugiura Yukiyasu Okamura Takaaki Ito Ryo Ashida Katsuhisa Ohgi Katsuhiko Uesaka Laparoscopic repeat liver resection for hepatic epithelioid hemangioendothelioma Surgical Case Reports Laparoscopy Liver resection Hepatic epithelioid hemangioendothelioma |
| title | Laparoscopic repeat liver resection for hepatic epithelioid hemangioendothelioma |
| title_full | Laparoscopic repeat liver resection for hepatic epithelioid hemangioendothelioma |
| title_fullStr | Laparoscopic repeat liver resection for hepatic epithelioid hemangioendothelioma |
| title_full_unstemmed | Laparoscopic repeat liver resection for hepatic epithelioid hemangioendothelioma |
| title_short | Laparoscopic repeat liver resection for hepatic epithelioid hemangioendothelioma |
| title_sort | laparoscopic repeat liver resection for hepatic epithelioid hemangioendothelioma |
| topic | Laparoscopy Liver resection Hepatic epithelioid hemangioendothelioma |
| url | http://link.springer.com/article/10.1186/s40792-020-01036-z |
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