卵巢癌孤立性腹主动脉旁淋巴结复发的二次减瘤手术，包括左肾静脉离断术。
Secondary debulking surgery for isolated para-aortic nodal recurrence in ovarian cancer involving the division of the left renal vein.
作者信息
Kato Kazuyoshi, Usami Tomoka, Takeshima Nobuhiro
机构信息
Department of Gynecology, Cancer Institute Hospital, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, Japan.
Department of Gynecology, Cancer Institute Hospital, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, Japan.
出版信息
Gynecol Oncol. 2015 Apr;137(1):188-9. doi: 10.1016/j.ygyno.2015.02.007. Epub 2015 Feb 11.
OBJECTIVE
To present a case that involved para-aortic lymphadenectomy in the aortocaval and retrocaval region involving the division of the left renal vein (LRV).
METHODS
A 36-year-old woman presented with ovarian cancer and isolated nodal recurrence located in the aortocaval and retrocaval region above and below the renal vein. Cytoreduction of para-aortic lymph nodes involving the division of the LRV was performed.
RESULTS AND CONCLUSION
Division of the LRV facilitates the separation of the lymph nodes from the renal artery or inferior vena cava under direct vision. No intra- or early postoperative complications, including renal dysfunction, occurred. Further analyses with long-term follow-up are warranted to evaluate this surgical method.
目的
介绍一例涉及主动脉腔和腔静脉后区域的主动脉旁淋巴结清扫术，该手术包括左肾静脉（LRV）的离断。
方法
一名36岁女性，患有卵巢癌，孤立性淋巴结复发位于肾静脉上下的主动脉腔和腔静脉后区域。进行了涉及LRV离断的主动脉旁淋巴结细胞减灭术。
结果与结论
LRV的离断有助于在直视下将淋巴结与肾动脉或下腔静脉分离。未发生包括肾功能障碍在内的术中或术后早期并发症。有必要进行长期随访的进一步分析以评估这种手术方法。
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