Repeated laparoscopic resection of extra-regional lymph node metastasis after laparoscopic radical resection for rectal cancer
Here, we report a case of repeated laparoscopic resection of extra-regional lymph node metastases in a patient after laparoscopic surgery for rectal cancer. A 72-year-old woman was diagnosed with upper rectal cancer and underwent laparoscopic low anterior resection and D3 dissection. The pathologica...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2018;volume=14;issue=2;spage=146;epage=148;aulast=Sakamoto |
| _version_ | 1818901015258202112 |
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| author | Kazuhiro Sakamoto Makoto Takahashi Rina Takahashi Shingo Kawano Masaya Kawai Kiichi Sugimoto Hirohiko Kamiyama Yutaka Kojima Atsushi Okuzawa Yuichi Tomiki |
| author_facet | Kazuhiro Sakamoto Makoto Takahashi Rina Takahashi Shingo Kawano Masaya Kawai Kiichi Sugimoto Hirohiko Kamiyama Yutaka Kojima Atsushi Okuzawa Yuichi Tomiki |
| author_sort | Kazuhiro Sakamoto |
| collection | DOAJ |
| description | Here, we report a case of repeated laparoscopic resection of extra-regional lymph node metastases in a patient after laparoscopic surgery for rectal cancer. A 72-year-old woman was diagnosed with upper rectal cancer and underwent laparoscopic low anterior resection and D3 dissection. The pathological stage was considered as T3, N2b, M0, Stage IIIC. Six months after the operation, positron emission tomography-computed tomography (PET-CT) showed fluorodeoxyglucose (FDG) accumulation in the infra-renal para-aortic lymph nodes (PALNs). Systemic chemotherapy was administered; however, chemotherapy was discontinued due to hemoptysis related to her pulmonary disease. Therefore, we performed laparoscopic PALN resection. Pathologically, one lymph node was diagnosed with a metastasis. Three months after the second operation, PET-CT identified FDG accumulation in the left lateral pelvic lymph nodes (LPLNs) and a PALN. Laparoscopic LPLN dissection and PALN resection through minilaparotomy were performed. Pathologically, lymph node metastases were diagnosed in both fields. Sixteen months after the 3rd operation, there is no recurrence. |
| first_indexed | 2024-12-19T20:13:02Z |
| format | Article |
| id | doaj.art-6f6132d36bcf455e81e61910d337d47f |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-19T20:13:02Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-6f6132d36bcf455e81e61910d337d47f2022-12-21T20:07:16ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212018-01-0114214614810.4103/jmas.JMAS_177_17Repeated laparoscopic resection of extra-regional lymph node metastasis after laparoscopic radical resection for rectal cancerKazuhiro SakamotoMakoto TakahashiRina TakahashiShingo KawanoMasaya KawaiKiichi SugimotoHirohiko KamiyamaYutaka KojimaAtsushi OkuzawaYuichi TomikiHere, we report a case of repeated laparoscopic resection of extra-regional lymph node metastases in a patient after laparoscopic surgery for rectal cancer. A 72-year-old woman was diagnosed with upper rectal cancer and underwent laparoscopic low anterior resection and D3 dissection. The pathological stage was considered as T3, N2b, M0, Stage IIIC. Six months after the operation, positron emission tomography-computed tomography (PET-CT) showed fluorodeoxyglucose (FDG) accumulation in the infra-renal para-aortic lymph nodes (PALNs). Systemic chemotherapy was administered; however, chemotherapy was discontinued due to hemoptysis related to her pulmonary disease. Therefore, we performed laparoscopic PALN resection. Pathologically, one lymph node was diagnosed with a metastasis. Three months after the second operation, PET-CT identified FDG accumulation in the left lateral pelvic lymph nodes (LPLNs) and a PALN. Laparoscopic LPLN dissection and PALN resection through minilaparotomy were performed. Pathologically, lymph node metastases were diagnosed in both fields. Sixteen months after the 3rd operation, there is no recurrence.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2018;volume=14;issue=2;spage=146;epage=148;aulast=SakamotoLaparoscopic surgerylateral pelvic lymph node metastasispara-aortic lymph node metastasisrectal cancer |
| spellingShingle | Kazuhiro Sakamoto Makoto Takahashi Rina Takahashi Shingo Kawano Masaya Kawai Kiichi Sugimoto Hirohiko Kamiyama Yutaka Kojima Atsushi Okuzawa Yuichi Tomiki Repeated laparoscopic resection of extra-regional lymph node metastasis after laparoscopic radical resection for rectal cancer Journal of Minimal Access Surgery Laparoscopic surgery lateral pelvic lymph node metastasis para-aortic lymph node metastasis rectal cancer |
| title | Repeated laparoscopic resection of extra-regional lymph node metastasis after laparoscopic radical resection for rectal cancer |
| title_full | Repeated laparoscopic resection of extra-regional lymph node metastasis after laparoscopic radical resection for rectal cancer |
| title_fullStr | Repeated laparoscopic resection of extra-regional lymph node metastasis after laparoscopic radical resection for rectal cancer |
| title_full_unstemmed | Repeated laparoscopic resection of extra-regional lymph node metastasis after laparoscopic radical resection for rectal cancer |
| title_short | Repeated laparoscopic resection of extra-regional lymph node metastasis after laparoscopic radical resection for rectal cancer |
| title_sort | repeated laparoscopic resection of extra regional lymph node metastasis after laparoscopic radical resection for rectal cancer |
| topic | Laparoscopic surgery lateral pelvic lymph node metastasis para-aortic lymph node metastasis rectal cancer |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2018;volume=14;issue=2;spage=146;epage=148;aulast=Sakamoto |
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