Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 7, 2022; 10(1): 268-274
Published online Jan 7, 2022. doi: 10.12998/wjcc.v10.i1.268
Hyper-accuracy three-dimensional reconstruction as a tool for better planning of retroperitoneal liposarcoma resection: A case report
Mu-Shi Ye, Hao-Kai Wu, Xing-Zhang Qin, Fan Luo, Zhuo Li
Mu-Shi Ye, Hao-Kai Wu, Xing-Zhang Qin, Fan Luo, Zhuo Li, Laboratory of Urology, The Affiliated Hospital of Guangdong Medical University, Guangdong Medical University, Guangzhou 524001, Guangdong Province, China
Author contributions: Ye MS and Wu HK performed the surgery; Ye MS, Wu HK, Qin XZ, and Luo F collected the patients’ clinical data and wrote the paper; all authors read and approved the final manuscript.
Supported by the National Natural Science Foundation of China, No. 81272833.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that no competing interest exists.
CARE Checklist (2016) statement: The authors declare that all the data in the nursing certificate are true and reliable.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhuo Li, PhD, Attending Doctor, Laboratory of Urology, The Affiliated Hospital of Guangdong Medical University, Guangdong Medical University, No. 195 Dongfeng West Road, Guangzhou 524001, Guangdong Province, China. zhuosal@163.com
Received: March 9, 2021
Peer-review started: March 9, 2021
First decision: April 4, 2021
Revised: April 18, 2021
Accepted: November 26, 2021
Article in press: November 26, 2021
Published online: January 7, 2022
Processing time: 295 Days and 21.1 Hours
Abstract
BACKGROUND

Well-differentiated liposarcoma is the second most common pathologic type of retroperitoneal sarcoma. It is characterized by a huge mass, but multiple organ invasions are common. Surgery is the only treatment option for potential cure. Hyper-accuracy three-dimensional (3D) reconstruction is widely used in robotic partly nephrectomy owing to its ability to visualize overlapping anatomy.

CASE SUMMARY

A 54-year-old man was admitted for progressive abdominal distension over the preceding 2 mo. Computed tomography revealed a 32 cm × 21 cm × 12 cm lipomatous mass. Hyper-accuracy 3D reconstruction was performed because of the complex relationship between the mass and nearby tissue. The patient underwent surgical resection, and the tumor did not recur for over 16 mo.

CONCLUSION

Hyper-accuracy 3D reconstruction is useful for operative planning owing to its intuitiveness and precise determination of anatomical structures in both tumors and nearby tissues.

Keywords: Well-differentiated liposarcoma; Hyper-accuracy three-dimensional reconstruction; Surgical resection; Case report

Core Tip: Surgical resection is the preferred treatment for well-differentiated liposarcoma (WDLPS). Hyper-accuracy three-dimensional (3D) reconstruction is widely used in robotic partial nephrectomy for its ability to visualize overlapping anatomy. Here, we report a case of giant WDLPS in the retroperitoneum treated by surgical resection using hyper-accuracy 3D reconstruction. To the best of our knowledge, our case was the first to use this technique for giant retroperitoneal WDLPS. We expect our case to highlight the value of hyper-accuracy 3D reconstruction for complicated open surgery and provide a basis for retroperitoneal liposarcoma treatment.