Surgical Film Library-Thoracoscopic Resection Of Lymph Nodes Metastatic To The Cardiophrenic Angle In Mesonephric Duct Carcinoma

Thoracoscopic Resection Of Lymph Nodes Metastatic To The Cardiophrenic Angle In Mesonephric Duct Carcinoma

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Video Summary

A 58-year-old woman with abdominal distention was diagnosed with pelvic mass, peritoneal metastasis, and cardiophrenic angle lymph node metastasis. After multidisciplinary discussion, cytoreductive surgery, including thoracoscopic resection of cardiophrenic lymph nodes, was performed. The procedure involved removing adipose tissue surrounding metastatic lymph nodes at the cardiophrenic angle, carefully preserving structures like the diaphragm and inferior vena cava. Complete lymphatic and adipose tissue clearance aimed for radical tumor removal. Pathology confirmed mesonephric carcinoma with lymph node metastasis. The surgery successfully achieved R0 resection, minimizing residual tumor and ensuring thorough lymph node dissection.

Asset Subtitle

Yongpeng Wang, China

Meta Tag

Procedure Type Cytoreductive surgery

Route MIS-Robotic

Skill Level Expert

Surgical Location Chest

Keywords

MIS-Robotic

Chest

Expert

Cytoreductive surgery

pelvic mass

peritoneal metastasis

cardiophrenic lymph node resection

mesonephric carcinoma