title: Secondary debulking surgery in ovarian cancer patients with isolated nodal recurrence located in the region above and behind the renal vein.
abstract: OBJECTIVE
  We describe our early experience with a suprarenal and retrorenal para-aortic lymphadenectomy involving the mobilization of the left kidney.
  
  
  METHODS
  Three patients with isolated nodal recurrence located in the region above and behind the renal vein underwent the removal of these metastatic lymph nodes using a left renal mobilization procedure.
  
  
  CONCLUSIONS
  The enlarged suprarenal and retrorenal lymph nodes were safely and effectively removed in all 3 patients. Postoperatively, a lymphatic fistula developed in one patient. However, no morbidities related to renal mobilization, including renal ischemia, were observed in the current series. A further large, prospective study is required to evaluate this surgical procedure.
authors.affiliation: Department of Gynecology, Cancer Institute Hospital, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, Japan. kazuyoshi.kato@jfcr.or.jp
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Kato
authors.forename: Kohei
authors.initials: K
authors.lastname: Omatsu
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Takeshima
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000601:surgery; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D012082:Renal Veins / Q000601:surgery; D012086:Reoperation / Q000379:methods