title: Secondary debulking surgery for isolated para-aortic nodal recurrence in endometrial cancer requiring partial resection of the inferior vena cava.
abstract: OBJECTIVE
  We report the details of a surgical technique for the cytoreduction of metastatic para-aortic lymph nodes with involvement of the inferior vena cava (IVC) requiring partial resection and repair of the IVC.
  
  
  METHODS
  A 52-year-old woman presented with endometrial cancer and isolated nodal recurrence involving the IVC. A vascular clamp was applied to the segment of the IVC that the metastatic lymph nodes had involved, and an en bloc resection of the para-aortic lymph nodes with the involved segment of the IVC was performed.
  
  
  CONCLUSIONS
  In this case, a partial resection of the IVC was performed to enable a complete cytoreduction without encroaching on the tumor planes. No intraoperative or postoperative complications, including vascular complications, occurred. This surgical procedure can be adopted for the management of metastatic para-aortic lymph nodes in selected patients.
authors.affiliation: Department of Gynecology, Cancer Institute Hospital, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, Japan. Electronic address: kazuyosikato@gmail.com.
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Kato
authors.affiliation: Department of Gynecology, Cancer Institute Hospital, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, Japan.
authors.forename: Motoki
authors.initials: M
authors.lastname: Matsuura
authors.affiliation: Department of Gynecology, Cancer Institute Hospital, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, Japan.
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Takeshima
mesh_terms: D001011:Aorta; D065426:Cytoreduction Surgical Procedures / Q000379:methods*; D016889:Endometrial Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000556:secondary / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000601:surgery*
keywords: Endometrial cancer; Inferior vena cava; Para-aortic lymphadenectomy