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Komori K, Kinoshita T, Oshiro T, Ito S, Abe T, Senda Y, Misawa K, Ito Y, Uemura N, Natsume S, Higaki E, Ouchi A, Tsutsuyama M, Hosoi T, Shigeyoshi I, An B, Akazawa T, Hayashi D, Tanaka H, Uchino T, Kunitomo A, Shimizu Y. Combined resection of re-recurrent lateral lymph nodes and external iliac vein:Case Report and Literature. J Med Invest 2018; 65:136-138. [PMID: 29593184 DOI: 10.2152/jmi.65.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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.
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Affiliation(s)
- Koji Komori
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Takashi Kinoshita
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Taihei Oshiro
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Seiji Ito
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Tetsuya Abe
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Yoshiki Senda
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Kazunari Misawa
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Yuichi Ito
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Norihisa Uemura
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Seiji Natsume
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Eigi Higaki
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Akira Ouchi
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | | | - Takahiro Hosoi
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Itaru Shigeyoshi
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Byonggu An
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Tomoyuki Akazawa
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Daisuke Hayashi
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Hideharu Tanaka
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Tairin Uchino
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Aina Kunitomo
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
| | - Yasuhiro Shimizu
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
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