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Bedzhanyan A.L.

Petrovsky Russian Scientific Center of Surgery

Bredikhin M.I.

Petrovsky Russian Scientific Center of Surgery

Galyan T.N.

Petrovsky Russian Scientific Center of Surgery

Arutyunyants D.E.

Petrovsky Russian Scientific Center of Surgery

Petrenko K.N.

Petrovsky Russian Scientific Center of Surgery

Dolzhansky O.V.

Petrovsky Russian Scientific Center of Surgery

Frolova Yu.V.

Petrovsky Russian Scientific Center of Surgery

Linnik D.V.

Petrovsky Russian Scientific Center of Surgery

Metastasis of the right colon mucinous adenocarcinoma to aortocaval and retropancreatic space: case report and literature review

Authors:

Bedzhanyan A.L., Bredikhin M.I., Galyan T.N., Arutyunyants D.E., Petrenko K.N., Dolzhansky O.V., Frolova Yu.V., Linnik D.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(6‑2): 95‑100

DOI: 10.17116/hirurgia202106295

Read: 4894 times

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Table of contents

METASTASIS OF THE RIGHT COLON MUCINOUS ADENOCARCINOMA TO AORTOCAVAL AND RETROPANCREATIC SPACE: CASE REPORT AND LITERATURE REVIEW
METASTASIS OF THE RIGHT COLON MUCINOUS ADENOCARCINOMA TO AORTOCAVAL AND RETROPANCREATIC SPACE: CASE REPORT AND LITERATURE REVIEW

To cite this article:

Bedzhanyan AL, Bredikhin MI, Galyan TN, et al. . Metastasis of the right colon mucinous adenocarcinoma to aortocaval and retropancreatic space: case report and literature review. Pirogov Russian Journal of Surgery. 2021;(6‑2):95‑100. (In Russ.)
https://doi.org/10.17116/hirurgia202106295

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
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Abstract:

Metastases of the right colon cancer to extra-regional lymph nodes are rarely observed. Available literature data cannot be a reliable guide to choose the optimal treatment strategy. Indeed, excision of extra-regional lymph nodes is a rare experience and its results are poorly represented. According to our clinical experience, surgical intervention following comprehensive examination may be radical in patients with right colon cancer if distant metastases are absent. Resection of extra-regional lymph nodes can be safely performed in these cases. We report a patient with the right colon cancer and lesion of extra-regional lymph nodes behind the pancreatic head, paracaval and paraaortic space, hepatoduodenal ligament. Standard laparoscopic right-sided hemicolectomy with D-3 lymph node dissection was accompanied by resection of a conglomerate of nodal metastases behind the pancreatic head and superficial resection of the pancreas. Extra-regional lymph node excision is a reasonable option for colon mucinous adenocarcinoma stage I-III. However, comprehensive preoperative examination is required. Technical difficulty of extra-regional lymph node excision it is not the reason for limitation of surgical intervention. However, safe and total resection requires an adequate surgical approach.

Keywords:

right colon cancer
colorectal cancer
lymph node excision
extended lymph node excision
extra-regional lymph nodes
lymphatic metastasis
case report

Authors:

Bedzhanyan A.L.

Petrovsky Russian Scientific Center of Surgery

Bredikhin M.I.

Petrovsky Russian Scientific Center of Surgery

Galyan T.N.

Petrovsky Russian Scientific Center of Surgery

Arutyunyants D.E.

Petrovsky Russian Scientific Center of Surgery

Petrenko K.N.

Petrovsky Russian Scientific Center of Surgery

Dolzhansky O.V.

Petrovsky Russian Scientific Center of Surgery

Frolova Yu.V.

Petrovsky Russian Scientific Center of Surgery

Linnik D.V.

Petrovsky Russian Scientific Center of Surgery

Received:

03.03.2021

Accepted:

10.04.2021

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