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- Title
Successful laparoscopy‐assisted en bloc resection of bulky omental malignant lymphoma involving the ascending colon and multiple lymph node metastases: Report of a technically demanding case in a pediatric patient.
- Authors
Murakami, Masakazu; Muto, Mitsuru; Nakagawa, Shunsuke; Kedoin, Chihiro; Matsui, Mayu; Sugita, Koshiro; Yano, Keisuke; Onishi, Shun; Harumatsu, Toshio; Yamada, Koji; Yamada, Waka; Matsukubo, Makoto; Kawano, Takafumi; Kodama, Yuichi; Nishikawa, Takuro; Kaji, Tatsuru; Okamoto, Yasuhiro; Ieiri, Satoshi
- Abstract
We herein report a 13‐year‐old boy with a chief complaint of abdominal pain and a palpable mass. Contrast‐enhanced computed tomography (CT) scan showed an abdominal bulky tumor involving the ascending colon causing severe stenosis, with multiple abdominal lymph node metastases detected by positron emission tomography (PET)‐CT. Laparoscopic radical resection with right hemicolectomy and lymph node dissection was planned. The bulky tumor was dissected from the retroperitoneum and resected en bloc with the right‐side colon and omentum. The preoperatively detected metastatic lymph nodes were resected along with the tumor. A 6‐cm longitudinal umbilical incision was made, and the huge tumor was removed, with functional end‐to‐end anastomosis performed for intestinal reconstruction. The pathological diagnosis was Burkitt‐like lymphoma with 11q aberration. The postoperative course was uneventful. Laparoscopy‐assisted extirpation is feasible for pediatric solid tumors involving other organs, but indications and procedures should be carefully determined based on preoperative imaging, intraoperative findings and surgeon's skills.
- Subjects
CHILD patients; LYMPHATIC metastasis; POSITRON emission tomography; LYMPHADENECTOMY; COLON (Anatomy); RETROPERITONEUM diseases
- Publication
Asian Journal of Endoscopic Surgery, 2022, Vol 15, Issue 4, p836
- ISSN
1758-5902
- Publication type
Article
- DOI
10.1111/ases.13081