title: Pure laparoscopic posterior sectionectomy for liver metastasis resulting from choroidal malignant melanoma: a case report.
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.
authors.affiliation: Department of Surgery, Iwate Medical University, Morioka, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Umemura
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nitta
authors.forename: Akira
authors.initials: A
authors.lastname: Sasaki
authors.forename: Takeshi
authors.initials: T
authors.lastname: Takahara
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Hasegawa
authors.forename: Go
authors.initials: G
authors.lastname: Wakabayashi
mesh_terms: D002830:Choroid Neoplasms / Q000473:pathology*; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008113:Liver Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D008297:Male; D008545:Melanoma / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
keywords: Choroidal melanoma; laparoscopic liver resection; liver metastasis