1. Combined resection of re-recurrent lateral lymph nodes and external iliac vein : Case Report and Literature
- Author
-
Tairin Uchino, Akira Ouchi, Yuichi Ito, Daisuke Hayashi, Takashi Kinoshita, Seiji Ito, Hideharu Tanaka, Masayuki Tsutsuyama, Kazunari Misawa, Taihei Oshiro, Norihisa Uemura, Koji Komori, Takahiro Hosoi, Tetsuya Abe, Itaru Shigeyoshi, Eigi Higaki, Yoshiki Senda, Yasuhiro Shimizu, Tomoyuki Akazawa, Byonggu An, Seiji Natsume, and Aina Kunitomo
- Subjects
medicine.medical_specialty ,Combined resection ,business.industry ,Abdominoperineal resection ,Extraperitoneal approach ,General Medicine ,Iliac Vein ,Middle Aged ,General Biochemistry, Genetics and Molecular Biology ,Surgery ,medicine.anatomical_structure ,combined resection of external iliac vein ,medicine ,Humans ,Lymph Node Excision ,Female ,Lymph ,External iliac vein ,Segmental resection ,Neoplasm Recurrence, Local ,Vein ,business ,Colorectal Neoplasms ,Lymph node ,Re-recurrent lateral lymph node - Abstract
Herein, we describe the operative procedure for combined resection of re-recurrent lateral lymph nodes and the external iliac vein. There is no consensus on the clinical implications of resection of locally re-recurrent colorectal tumors, as the operative procedure is extremely difficult. We present the case of a 52-year-old woman who underwent abdominoperineal resection. About one year later, we excised a recurrent lymph node in the left lateral obturator area through an extraperitoneal approach. About 18 months later, lymph node re-recurrence in the left external iliac area was observed. Re-recurrent lymph nodes directly invade the left external iliac vein. We removed the re-recurrent lymph node with combined, radical segmental resection of the left external iliac vein, left obturator artery and vein, and left obturator nerve. J. Med. Invest. 65:136-138, February, 2018.
- Published
- 2018