Retroperitoneal lymph node dissection for testicular cancer in a patient with a double inferior vena cava

Introduction A double inferior vena cava is a rare anomaly with an incidence ranging from 0.3% to 3.0%. In patients with a double inferior vena cava, it is important to understand the precise anatomy and possible irregular lymph node flow when performing surgery for malignancies. Case presentation A...

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Veröffentlicht in:IJU Case Reports 2021-03, Vol.4 (2), p.86-88
Hauptverfasser: Yamaguchi, Akane, Negoro, Hiromitsu, Kojo, Kosuke, Ikeda, Atsushi, Kimura, Tomokazu, Kandori, Shuya, Hoshi, Akio, Kojima, Takahiro, Kawai, Koji, Nishiyama, Hiroyuki
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Sprache:eng
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Zusammenfassung:Introduction A double inferior vena cava is a rare anomaly with an incidence ranging from 0.3% to 3.0%. In patients with a double inferior vena cava, it is important to understand the precise anatomy and possible irregular lymph node flow when performing surgery for malignancies. Case presentation A 60‐year‐old man with a non‐seminoma was referred to our hospital after left high orchiectomy. Computed tomography revealed a double inferior vena cava and swollen masses in the para‐aortic region. After four cycles of chemotherapy with etoposide and cisplatin, retroperitoneal lymph node dissection was safely performed with a modified template extended to the right side of the paracaval region by referring to three‐dimensional images created by SYNAPSE VINCENT® software. Conclusion Preoperative three‐dimensional images were useful to understand this patient’s unusual and complicated anatomical positions.
ISSN:2577-171X
2577-171X
DOI:10.1002/iju5.12247