Resection of inferior vena cava, abdominal aorta, bilateral common iliac arteries, and bilateral partial external iliac arteries with artificial vessel replacement during radical endometrial cancer surgery: a case report

BMC Women's Health

Case Report

Lei Zhu¹  Hongying Yang¹  Hui Liu¹  He Zhao¹  Shufen Tan¹  Linlin Yang¹  Zhenglei Shen¹  Ruolan Xu¹  Yanfei Zhao¹  Lingfeng Zhao¹  Yan Qin¹  Chunyan Ding¹  Zaoxiu Hu¹ 

[1] Department of Gynaecology, Yunnan Cancer Hospital (The Third Affiliated Hospital of Kunming Medical University), 650118, Kunming, China;

关键词: Endometrial cancer;    Radical endometrial cancer surgery;    Artificial vessel replacement;    Lymph node metastasis;   

DOI  :  10.1186/s12905-022-02120-2

 received in 2022-05-24, accepted in 2022-12-07,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundEndometrial carcinoma (EC) is a common malignant tumor of the female reproductive system, often accompanied by lymph node metastasis. Artificial vascular implantation is a common surgical treatment for mediastinal tumors and abdominal aortic aneurysms but is rarely used in gynecological surgery.Case presentationA 54-year-old female patient was first admitted to the hospital in January 2018 due to “irregular vaginal bleeding over 3 months”. CT showed a mass in the uterine cavity, and several swollen lymph nodes in the retroperitoneum and pelvic cavity. The initial diagnosis was an endometrial malignant tumor. We performed radical endometrial cancer surgery with parallel resection of inferior vena cava, abdominal aorta, bilateral common iliac arteries, bilateral external iliac arteries, and artificial vessel replacement, which was successful, with good postoperative recovery and no lesion progression at 3 years postoperative follow-up.ConclusionThis is an early case of gynecological clinical use of prostheses. Through multidisciplinary cooperation, the surgical resection rate of patients with EC in radical surgery was improved without serious fatal complications and achieved a high long-term postoperative survival rate.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

40560_2022_645_Article_IEq3.gif

12936_2022_4386_Article_IEq183.gif

Fig. 2

Fig. 1