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

IJU Case Reports

article

Akane Yamaguchi¹  Hiromitsu Negoro¹  Kosuke Kojo¹  Atsushi Ikeda¹  Tomokazu Kimura¹  Shuya Kandori¹  Akio Hoshi¹  Takahiro Kojima¹  Koji Kawai¹  Hiroyuki Nishiyama¹ 

[1] Department of Urology, University of Tsukuba Hospital

关键词: imaging;    inferior;    retroperitoneal neoplasm;    three-dimensional;    vena cava;   

DOI  :  10.1002/iju5.12247

学科分类：社会科学、人文和艺术（综合）

来源: Wiley

【 摘 要 】

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.

【 授权许可】

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