Tripathi Mayank, Kumari Katyayani, Vineet Kumar, Vadodaria Dhaval R, Parekh Hetanshu
Department of Surgical Oncology, MPMMCC & HBCH, Tata Memorial Centre, Homi Bhabha National Institute, Varanasi, India.
Department of Surgical Oncology, TMH, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, India.
J Gastrointest Cancer. 2025 Feb 14;56(1):64. doi: 10.1007/s12029-025-01178-z.
Locally advanced carcinoma colon may need en-bloc resection with microscopic negative margin.
We report our novel technique of internal iliac artery transposition to reconstruct the external iliac artery in a case of locally advanced colonic cancer involving the external iliac artery. In this case, adenocarcinoma of the right colon was seen involving the lower pole of the right kidney, right psoas muscle, right ureter and rt sided external iliac vessels.
Right hemicolectomy was done with right nephrectomy along with resection of the right external iliac artery. The right internal iliac artery was used for the reconstruction of the right external iliac artery.
Internal iliac artery used as a replacement for excised external iliac artery seems to be a valid alternative to synthetic grafts and femoral-femoral bypass.
局部进展期结肠癌可能需要进行整块切除且切缘显微镜下阴性。
我们报告了一例局部进展期结肠癌累及髂外动脉时，采用髂内动脉转位重建髂外动脉的新技术。在此病例中，可见右半结肠癌累及右肾下极、右腰大肌、右输尿管及右侧髂外血管。
行右半结肠切除术，同时切除右肾及右髂外动脉。使用右髂内动脉重建右髂外动脉。
髂内动脉用作切除的髂外动脉的替代物，似乎是人工血管移植和股-股旁路手术的有效替代方法。
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