Laparoscopic resection of a gastrointestinal stromal tumor that recurred more than 15 years after surgery using lighted ureteral catheters: A case report.

Abstract

A 69-year-old woman underwent abdominoperineal resection for a gastrointestinal stromal tumor (GIST) of the rectum 15 years ago. She received adjuvant chemotherapy for 8 years. Seven years later, abdominal computed tomography revealed a soft-tissue shadow in the left lower abdomen, and fluorodeoxyglucose uptake was observed at the same site on positron emission tomography. The recurrence of GIST was suspected, and laparoscopic resection was performed. Laparoscopy showed that the tumor was located at the retroperitoneum near to the descending colon and invaded the left ovarian vessels. It also made contact with the left ureter; however, lighted ureteral catheters enabled us to identify and preserve the left ureter. An immunohistochemical examination revealed the recurrence of GIST. Recurrence may become apparent 15 years or more after GIST surgery, and, thus, a long-term follow-up is required. Lighted ureteral catheters were useful for identifying the ureter and preventing ureteral injury in a recurrent case suspected of invading the ureter.

• Authors: Hiroshi Saito, Masanori Kotake, Jyunichi Ogawa, Masashi Hashimoto, Koichiro Sawada, Masahiro Oshima, Masahiro Hada, Yosuke Kato, Kaeko Oyama, Takuo Hara, Noriyuki Inaki
• Journal: Asian journal of endoscopic surgery (Asian J Endosc Surg) Vol. 15 Issue 2 Pg. 397-400 (Apr 2022) ISSN: 1758-5910 [Electronic] Japan
• PMID: 34874113 (Publication Type: Case Reports)
• Copyright: © 2021 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.

Topics

• Aged
• Female
• Gastrointestinal Stromal Tumors (diagnostic imaging, drug therapy, surgery)
• Humans
• Laparoscopy (methods)
• Retroperitoneal Space
• Ureter (surgery)
• Urinary Catheters