Multimedia articles. Small-bowel tumors with extensive mesenteric involvement can be resected with careful dissection of the mesenteric vessels with good outcomes.
We show the video of the dissection and resection of a locally advanced jejunal adenocarcinoma, with the involvement of multiple loops, to the base of the mesentery. Complete resection was made possible by careful dissection of the jejunal vessels and superior mesenteric artery at the root of the small-bowel mesentery (see Video, Supplemental Digital Content 1, http://links.lww.com/A1308). The long-term outcome for this patient is good.
Tan
Kok-Yang
KY
Department of Surgery, Alexandra Hospital, Singapore. kokyangtan@gmail.com
Moriya
Yoshihiro
Y
Konishi
Fumio
F
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D007421:Intestine, Small; D008643:Mesentery / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014741:Video Recording