title: [A Case of Laparoscopic Resection of Peritoneal Hepatocellular Carcinoma Recurrence after Percutaneous Ethanol Injection Therapy].
abstract: Needle tract implantation after percutaneous ethanol injection therapy(PEIT)for hepatocellular carcinoma(HCC)is rare. Surgical treatment of such HCC implants is still controversial. We herein report the case of a patient who underwent laparoscopic resection for peritoneal dissemination after PEIT. An 81-year-old man underwent PEIT for primary HCC at another hospital. Thereafter, percutaneous radiofrequency ablation(RFA)was performed twice for intrahepatic recurrence. After the second RFA, a mass lesion was detected at the subhepatic space on computed tomography(CT). We reevaluated the CT and diagnosed the patient with peritoneal dissemination after PEIT. Laparoscopic resection was performed. However, the patient developed recurrences at the thoracic wall and peritoneum 12 months after laparoscopic surgery. Those 2 tumors were resected, and he remains alive, approximately 30 months after the laparoscopic resection. Laparoscopic extirpation of tract seeding may provide better clinical outcomes in select patients.
authors.affiliation: Dept. of Surgery, Kurume University Hospital.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Muroya
authors.forename: Masafumi
authors.initials: M
authors.lastname: Yasunaga
authors.forename: Yusaku
authors.initials: Y
authors.lastname: Date
authors.forename: Shogo
authors.initials: S
authors.lastname: Fukutomi
authors.forename: Nobuhisa
authors.initials: N
authors.lastname: Shirahama
authors.forename: Shoichiro
authors.initials: S
authors.lastname: Arai
authors.forename: Yohei
authors.initials: Y
authors.lastname: Nakama
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Kawahara
authors.forename: Hisamune
authors.initials: H
authors.lastname: Sakai
authors.forename: Hiroto
authors.initials: H
authors.lastname: Ishikawa
authors.forename: Toru
authors.initials: T
authors.lastname: Hisaka
authors.forename: Jun
authors.initials: J
authors.lastname: Akiba
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Akagi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tanaka
authors.forename: Koji
authors.initials: K
authors.lastname: Okuda
mesh_terms: D000369:Aged, 80 and over; D006528:Carcinoma, Hepatocellular / Q000556:secondary / Q000601:surgery*; D017115:Catheter Ablation; D000431:Ethanol; D006801:Humans; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D010534:Peritoneal Neoplasms / Q000556:secondary / Q000601:surgery*; D012008:Recurrence
chemical_list: D000431:Ethanol