A Case of Repeated Laparoscopic Partial Hepatectomy for Liver Metastasis of Ewing’s Sarcoma Family of Tumors
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- Gomi Suguru
- Department of Pediatric Surgery, Osaka City General Hospital
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- Fukunaga Kenji
- Department of Pediatric Surgery, Osaka City General Hospital
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- Yoneda Akihiro
- Department of Pediatric Surgery, Osaka City General Hospital
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- Nakamura Kyoko
- Department of Pediatric Surgery, Osaka City General Hospital
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- Nishimoto Satomi
- Department of Pediatric Surgery, Osaka City General Hospital
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- Tsukazaki Yukino
- Department of Pediatric Surgery, Osaka City General Hospital
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- Yamada Hiroto
- Department of Pediatric Surgery, Osaka City General Hospital
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- Kamiyama Masafumi
- Department of Pediatric Surgery, Osaka City General Hospital
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- Nitani Chika
- Department of Pediatric Oncology, Osaka City General Hospital
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- Kanazawa Shigeaki
- Department of Hepato-Biliary-Pancreatic Surgery, Osaka City General Hospital
Bibliographic Information
- Other Title
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- Ewing’s sarcoma family of tumors(ESFT)肝転移に対して2度の完全腹腔鏡下肝部分切除術を施行した1例
- 症例報告 Ewing's sarcoma family of tumors (ESFT)肝転移に対して2度の完全腹腔鏡下肝部分切除術を施行した1例
- ショウレイ ホウコク Ewing's sarcoma family of tumors (ESFT)カン テンイ ニ タイシテ 2ド ノ カンゼン フククウキョウ カ カン ブブン セツジョジュツ オ シコウ シタ 1レイ
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Description
<p>We report the case of an 8-year-old boy with Ewing’s sarcoma family of tumors of the right chest wall after treatment. He was initially diagnosed at 4 years of age. The patient achieved remission by multidisciplinary therapy. One year and nine months later, computed tomography showed a liver metastasis of 23 mm diameter located in segment 6 and a lung metastasis. After neoadjuvant chemotherapy, laparoscopic partial hepatectomy was performed for the liver metastasis at 7 years of age. Subsequently, he underwent lung resection and postoperative chemotherapy. Eleven months later, CT revealed a liver metastasis of 16 mm diameter in segment 2. We performed a second laparoscopic partial hepatectomy when he was 8 years and 8 months of age. Mild adhesion was observed at the previous surgical site of the liver, but there were no adhesions in the left lateral segment, which enabled us to operate safely. No transfusion was required during either of the perioperative periods of the laparoscopic surgeries, and there were no postoperative complications. Laparoscopic hepatectomy has become commonly used in adults, but there are only a few reports on its use in pediatric cases. Laparoscopic surgery is minimally invasive and causes less adhesion. This case demonstrates that laparoscopic surgery is useful for pediatric patients with a high risk of recurrence.</p>
Journal
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- Journal of the Japanese Society of Pediatric Surgeons
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Journal of the Japanese Society of Pediatric Surgeons 55 (7), 1170-1174, 2019-12-20
The Japanese Society of Pediatric Surgeons
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Keywords
Details 詳細情報について
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- CRID
- 1390283659832027520
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- NII Article ID
- 130007769709
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- NII Book ID
- AN00192281
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- ISSN
- 21874247
- 0288609X
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- NDL BIB ID
- 030168517
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed