scholarly journals Laparoscopic Resection of a Retroperitoneal Liposarcoma: A Case Report and Review of the Literature

2013 ◽  
Vol 98 (3) ◽  
pp. 219-222 ◽  
Author(s):  
Ryohei Nomura ◽  
Hiromi Tokumura ◽  
Naoki Matsumura

Abstract Here, we describe a case of a retroperitoneal liposarcoma successfully managed by laparoscopic surgery. A 72-year-old man underwent abnormal hypertension screening using computed tomography (CT), which revealed a low-density mass measuring 7 cm in diameter in the retroperitoneal space. We diagnosed the mass as a liposarcoma before the operation. The mass was resected laparoscopically. No perioperative complications were encountered, and the patient was discharged on the fourth postoperative day. The pathologic diagnosis was well-differentiated liposarcoma, indicating complete surgical resection. Thus, we conclude that a laparoscopic approach for the patients with retroperitoneal tumors, including liposarcomas, is safe, feasible, and minimally invasive, even if there is a possibility of the tumor being malignant.

2021 ◽  
Author(s):  
DO Haley S. Lehman ◽  
DO Ryan N. Qasawa ◽  
John J. Lim

Abstract Liposarcoma is one of the most common soft tissue sarcomas and has multiple subtypes, including atypical, well-differentiated, and dedifferentiated liposarcoma1. These tumors most commonly occur in the extremities and the retroperitoneum2, and account for 20% of all retroperitoneal tumors3. Retroperitoneal liposarcoma is very rare overall, occurring in 2.5 per one million people4. Patients will present from symptoms of mass effect due to the uncontrolled growth in the large potential space of the retroperitoneum, with its median size being around 30 cm5. The mainstay of treatment for this type of tumor is resection to a negative margin6. This is a case report describing a retroperitoneal liposarcoma presenting with bilateral inguinal hernias containing intraperitoneal fat from mass effect.


2014 ◽  
Vol 99 (1) ◽  
pp. 48-51 ◽  
Author(s):  
Masaki Suzuki ◽  
Minoru Fukuchi ◽  
Shinji Sakurai ◽  
Hiroshi Naitoh ◽  
Shinsuke Kiriyama ◽  
...  

Abstract We herein describe a 60-year-old Japanese man with a giant retroperitoneal liposarcoma undergoing leiomyosarcomatous differentiation. He was admitted to our hospital because of a 5-month history of dysphagia and abdominal distention. Abdominal computed tomography showed a giant tumor that occupied the entire retroperitoneal space. The majority of the mass was lipomatous and low density; both a heterogenous and solid mass were also present. A giant retroperitoneal liposarcoma was diagnosed, and tumor resection was performed. At surgery, the tumor was mostly isolated from the retroperitoneum and other organs. Histopathologically, the tumor comprised well-differentiated and dedifferentiated liposarcoma with heterologous differentiation of the leiomyosarcomatous components, which is a rare phenomenon in liposarcoma. The patient was alive 3 years after the first treatment, although he has had 3 local recurrences (approximately one recurrence yearly) and has been treated by repeated resection and radiotherapy.


2008 ◽  
Vol 74 (9) ◽  
pp. 829-831
Author(s):  
Daniel J. Margolin

This is a case report of a 51-year-old white female who underwent an endoscopy-assisted laparoscopic resection of a submucosal mass in the prepyloric region of the stomach, which turned out to be heterotopic pancreas. She presented with vague upper gastrointestinal complaints of pain, early satiety, nausea, vomiting, and an 8 pound weight loss. Her only diagnostic workup was an upper endoscopy, which revealed this submucosal umbilicated mass. This manuscript provides a detailed description of the operation and a discussion and review of the literature about gastric heterotopic pancreas.


HPB Surgery ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Antonio Siniscalchi ◽  
Giorgio Ercolani ◽  
Giulia Tarozzi ◽  
Lorenzo Gamberini ◽  
Lucia Cipolat ◽  
...  

Introduction. Laparoscopic liver resection is considered risky in cirrhotic patients, even if minor surgical trauma of laparoscopy could be useful to prevent deterioration of a compromised liver function. This study aimed to identify the differences in terms of perioperative complications and early outcome in cirrhotic patients undergoing minor hepatic resection for hepatocellular carcinoma with open or laparoscopic technique. Methods. In this retrospective study, 156 cirrhotic patients undergoing liver resection for hepatocellular carcinoma were divided into two groups according to type of surgical approach: laparoscopy (LS group: 23 patients) or laparotomy (LT group: 133 patients). Perioperative data, mortality, and length of hospital stay were recorded. Results. Groups were matched for type of resection, median number of nodules, and median diameter of largest lesions. Groups were also homogeneous for preoperative liver and renal function tests. Intraoperative haemoglobin decrease and transfusions of red blood cells and fresh frozen plasma were significantly lower in LS group. MELD score lasted stable after laparoscopic resection, while it increased in laparotomic group. Postoperative liver and renal failure and mortality were all lower in LS group. Conclusions. Lower morbidity and mortality, maintenance of liver function, and shorter hospital stay suggest the safety and benefit of laparoscopic approach.


2014 ◽  
Vol 99 (4) ◽  
pp. 384-390 ◽  
Author(s):  
Ryohei Nomura ◽  
Hiromi Tokumura ◽  
Makoto Furihata

Abstract We describe the case of a patient with a diaphragmatic hernia associated with radiofrequency ablation for hepatocellular carcinoma who was successfully treated by laparoscopic surgery. A 62-year-old man with a long history of hepatitis C-induced liver cirrhosis was admitted to our institution because of recurrent postprandial periumbilical pain. Eight years earlier, he had undergone radiofrequency ablation for hepatocellular carcinoma at hepatic segment VIII. Computed tomography, gastrografin enema examination revealed transverse colon obstruction because of a diaphragmatic hernia. We diagnosed diaphragmatic hernia associated with the prior radiofrequency ablation treatment. The patient underwent laparoscopic repair of the diaphragmatic hernia. Though the patient experienced the recurrence once, relaparoscopic treatment has improved the patient's conditions. Thus, diaphragmatic hernia can develop as a complication of radiofrequency ablation treatment. A laparoscopic approach is safe, feasible, and minimally invasive, even in patients with cirrhosis who develop iatrogenic diaphragmatic hernia as a complication of radiofrequency ablation treatment.


2004 ◽  
Vol 128 (3) ◽  
pp. 332-334 ◽  
Author(s):  
Ajay Rawal ◽  
Thomas C. Keeler ◽  
Michelangelo A. Milano

Abstract We report a case of testicular extramedullary myeloid cell tumor in a 37-year-old man who presented with an acute testicular hemorrhage. A pathologic examination revealed no gross tumor mass. A well-differentiated extramedullary myeloid cell tumor infiltrate was seen histologically, localized largely to the seminiferous tubules. The patient had no evidence of any past or concurrent myeloid disorders. The lack of the usual clinical features of a testicular mass and the presence of an intratubular pattern of infiltration can further compound the challenges in diagnosing this entity.


Author(s):  
Mohamed El-Agroudy ◽  
Hatem Abou-Senna ◽  
Essam Radwan

In the case of the low-density city, empirical evidence continuously demonstrates that transit investment is not a magic bullet. Desirable outcomes are not guaranteed and are often dependent on development density and other urban characteristics. Mobility-as-a-service (MaaS) presents a new approach: a digital platform providing access to multi-modal travel alternatives and totally comprehensive integrated trip-making, planning, and payment services. Review of the literature highlights shortcomings in traditional transportation planning by examining aspects of multi-modal planning such as adoption, parterships, operations, integration, capacity implications, and impact analyses. To enhance the practice of multi-modal planning, the following experiment evaluates various performance measures and inter-modal interactions on International Drive in Orlando, Florida, U.S., via D- and I-optimal experimental designs in a simulated MaaS network. Alternative scenarios are developed comparing varied modal shares across five travel modes: personal vehicles, transit, ridesourcing (or ride-hailing), micro-mobility, and walking. The modal effects are analyzed to highlight the strengths and weakness of each mode under a variety of congestion conditions. While transit enjoys the lowest impact per person, ridesourcing demonstrates adverse effects across all measures. Based on the novel interactions of transit and ridesourcing with directional demand, strategies are outlined for optimizing ridesourcing-transit integration to reduce route travel time, queuing, and overall network delay. The performance impacts of curbside facilities are also discussed for improved multi-modal integration at the street level. These findings are applied to propose a framework for effective planning and implementation of mobility services in low-density cities, focused on operations, city-level connectivity, and curbside management.


Chirurgia ◽  
2018 ◽  
Vol 31 (1) ◽  
Author(s):  
Andrea Lucchi ◽  
Vincenzo Alagna ◽  
Carlo Gabbianelli ◽  
Pierluigi Berti ◽  
Basilio Pirrera ◽  
...  

2016 ◽  
Vol 29 (suppl 1) ◽  
pp. 24-26 ◽  
Author(s):  
Eduardo Arevalo VIDAL ◽  
Francisco Abarca RENDON ◽  
Trino Andrade ZAMBRANO ◽  
Yudoco Andrade GARCÍA ◽  
Mario Ferrin VITERI ◽  
...  

ABSTRACT Background: Intestinal malrotation is a rare congenital anomaly. In adults is very difficult to recognize due to the lack of symptoms. Diagnosis is usually incidental during surgical procedures or at autopsy. Aim: To review the occurrence and recognition of uneventful intestinal malrotation discovered during regular cases of bariatric surgeries. Methods: Were retrospectively reviewed the medical registry of 20,000 cases undergoing bariatric surgery, from January 2002 to January 2016, looking for the occurrence of intestinal malrotation and consequences in the intraoperative technique and immediate evolution of the patients. Results: Five cases (0,025%) of intestinal malrotation were found. All of them were males, aging 45, 49, 37,52 and 39 years; BMI 35, 42, 49, 47 and 52 kg/m2, all of them with a past medical history of morbid obesity. The patient with BMI 35 kg/m2 suffered from type 2 diabetes also. All procedures were completed by laparoscopic approach, with no conversions. In one patient was not possible to move the jejunum to the upper abdomen in order to establish the gastrojejunostomy and a sleeve gastrectomy was performed. In another patient was not possible to fully recognize the anatomy due to bowel adhesions and a single anastomosis gastric bypass was preferred. No leaks or bleeding were identified. There were no perioperative complications. All patients were discharged 72 h after the procedure and no immediate 30-day complications were reported. Conclusion: Patients with malrotation can successfully undergo laparoscopic bariatric surgery. May be necessary changes in the surgical original strategy regarding the malrotation. Surgeons must check full abdominal anatomical condition prior to start the division of the stomach.


2020 ◽  
Vol 28 (4) ◽  
pp. 256-259
Author(s):  
Erdinç DİNÇER ◽  
Cengiz ÇANAKÇI ◽  
Ahmet SAHAN ◽  
Burcu HANCI ◽  
Oktay AKÇA

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