title: Secondary debulking surgery for isolated pelvic nodal recurrence requiring external iliac vein excision and reconstruction in a patient with ovarian cancer.
abstract: OBJECTIVE
  We report the details of a cytoreduction technique for pelvic lymph node recurrence with involvement of the external iliac vein (EIV) requiring a partial resection and reconstruction of the EIV.
  
  
  METHODS
  A 51-year-old woman presented with ovarian cancer and isolated nodal recurrence located on the right side of the pelvis. As the tumor had infiltrated the EIV wall, we performed the EIV excision and reconstruction using an autogenous graft.
  
  
  RESULTS
  EIV reconstruction was achieved using a right ovarian vein patch. No intra- or early postoperative complications occurred. A postoperative enhanced magnetic resonance imaging examination confirmed the patency of the EIV.
  
  
  CONCLUSIONS
  An en bloc EIV excision and reconstruction for contiguous tumor involvement seems to be a feasible and safe surgical option.
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: Hidetaka
authors.initials: H
authors.lastname: Nomura
authors.affiliation: Department of Gynecology, Cancer Institute Hospital, 3-8-31 Ariake, Koutou-ku, Tokyo 135-8550, Japan.
authors.forename: Minoru
authors.initials: M
authors.lastname: Nagashima
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: D065426:Cytoreduction Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007084:Iliac Vein / Q000601:surgery*; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D061646:Operative Time; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D010388:Pelvis; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation / Q000379:methods; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: External iliac vein; Ovarian cancer; Pelvic lymphadenectomy; Vascular reconstruction