Kato Kazuyoshi, Matsuura Motoki, Takeshima Nobuhiro
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.
Gynecol Oncol. 2015 Dec;139(3):580-1. doi: 10.1016/j.ygyno.2015.10.011. Epub 2015 Oct 23.
We report the details of a surgical technique for the cytoreduction of metastatic para-aortic lymph nodes with involvement of the inferior vena cava (IVC) requiring partial resection and repair of the IVC.
A 52-year-old woman presented with endometrial cancer and isolated nodal recurrence involving the IVC. A vascular clamp was applied to the segment of the IVC that the metastatic lymph nodes had involved, and an en bloc resection of the para-aortic lymph nodes with the involved segment of the IVC was performed.
In this case, a partial resection of the IVC was performed to enable a complete cytoreduction without encroaching on the tumor planes. No intraoperative or postoperative complications, including vascular complications, occurred. This surgical procedure can be adopted for the management of metastatic para-aortic lymph nodes in selected patients.
我们报告一种手术技术的细节，该技术用于对累及下腔静脉（IVC）且需要对IVC进行部分切除和修复的转移性主动脉旁淋巴结进行细胞减灭术。
一名52岁女性患有子宫内膜癌，且出现孤立性淋巴结复发并累及IVC。对转移性淋巴结所累及的IVC节段应用血管夹，然后将主动脉旁淋巴结与IVC的受累节段进行整块切除。
在该病例中，对IVC进行了部分切除，以实现完全的细胞减灭而不侵犯肿瘤层面。未发生包括血管并发症在内的术中或术后并发症。这种手术方法可用于特定患者转移性主动脉旁淋巴结的治疗。
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