Top

Published in:

Open Access 01-12-2015 | Case report

Prone-position thoracoscopic resection of posterior mediastinal lymph node metastasis from rectal cancer

Authors: Yasuhiro Shirakawa, Kazuhiro Noma, Takeshi Koujima, Naoaki Maeda, Shunsuke Tanabe, Toshiaki Ohara, Toshiyoshi Fujiwara

Published in: World Journal of Surgical Oncology | Issue 1/2015

Abstract

Mediastinal lymph node metastasis from colorectal cancer is rare, and barely any reports have described resection of this pathology. We report herein a successful thoracoscopic resection of mediastinal lymph node metastasis in a prone position. A 65-year-old man presented with posterior mediastinal lymph node metastasis after resection of the primary rectal cancer and metachronous hepatic metastasis. Metastatic lymph nodes were resected completely using thoracoscopic surgery in the prone position, which provided advantages of minimal invasiveness, good surgical field, and reduced ergonomic burden on the surgeon. Thoracoscopic resection in the prone position was thought to have the potential to become the standard procedure of posterior mediastinal tumors.

Penna C, Nordinger B. Colorectal metastasis (liver and lung). Surg Clin N Am. 2002;82:1075–90.CrossRefPubMed

August DA, Sugarbaker PH, Schneider PD. Lymphatic dissemination of hepatic metastases. Implications for the follow-up and treatment of patients with colorectal cancer. Cancer. 1985;55:1490–4.CrossRefPubMed

Vetto JT, Cohen AM. Isolated spread of hepatic metastatic disease to a mediastinal lymph node. Report of a case and review of pertinent anatomy and literature. Dis Colon Rectum. 1991;34:1128–30.CrossRefPubMed

Kuba H, Sato N, Uchiyama A, Nakafusa Y, Mibu R, Yoshida K, et al. Mediastinal lymph node metastasis of colon cancer: report of a case. Surg Today. 1999;29:375–7.CrossRefPubMed

Tsubaki M, Nemoto K, Yoda N, Hasimoto R, Sunagawa M, Masawa N. Sigmoid colon cancer with mediastinal lymph node metastases. Int Surg. 2007;92:209–13.PubMed

Musallam KM, Taher AT, Tawil AN, Chakhachiro ZI, Habbal MZ, Shamseddine AI. Solitary mediastinal lymph node metastasis in rectosigmoid carcinoma: a case report. Cases J. 2008;1:69.CrossRefPubMedCentralPubMed

Lupinacci R, Penna C, Nordlinger B. Hepatectomy for resectable colorectal cancer metastases–indicators of prognosis, definition of resectability, techniques and outcomes. Surg Oncol Clin N Am. 2007;16:493–506.CrossRefPubMed

Kobayashi K, Kawamura M, Ishihara T. Surgical treatment for both pulmonary and hepatic metastases from colorectal cancer. J Thorac Cardiovasc Surg. 1999;118:1090–6.CrossRefPubMed

Koga R, Yamamoto J, Saiura A, Yamaguchi T, Hata E, Sakamoto M. Surgical resection of pulmonary metastases from colorectal cancer: four favourable prognostic factors. Jpn J Clin Oncol. 2006;36:643–8.CrossRefPubMed

10.

Matsuda Y, Yano M, Miyoshi N, Noura S, Ohue M, Sugimura K, et al. Solitary mediastinal lymph node recurrence after curative resection of colon cancer. World J Gastrointest Surg. 2014;6:164–8.CrossRefPubMedCentralPubMed

11.

Malani AK, Gupta C, Singh J, Rangineni S. A 63-year-old woman with colon cancer and mediastinal lymphadenopathy. Chest. 2007;31:1970–3.CrossRef

12.

Tsukada T, Nakano T, Matoba M, Sasaki S, Higashi K. False-positive mediastinal lymphadenopathy on 18 F-fluorodeoxyglucose positron emission tomography and computed tomography after rectal cancer resection: a case report of thoracoscopic surgery in the prone position. Case Rep Oncol. 2011;4:569–75.CrossRefPubMedCentralPubMed

13.

Daiko H, Fujita T, Matsumura Y, Nishimura M. A new approach for posterior mediastinal tumors: thoracoscopic resection in the prone position. Asian J Endosc Surg. 2012;5:138–40.CrossRefPubMed

14.

Kumar A, Dutta R, Kannan U, Kumar R, Khilnani GC, Gupta SD. Evaluation of mediastinal lymph nodes using F-FDG PET-CT scan and its histopathologic correlation. Ann Thorac Med. 2011;6:11–6.CrossRefPubMedCentralPubMed

15.

Perigaud C, Bridji B, Roussel JC, Sagan C, Mugniot A, Duveau D, et al. Prospective preoperative mediastinal lymph node staging by integrated positron emission tomography-computerised tomography in patients with non-small-cell lung cancer. Eur J Cardiothorac Surg. 2009;36:731–6.CrossRefPubMed

16.

Shirakawa Y, Noma K, Maeda N, Katsube R, Tanabe S, Ohara T, et al. Assistant-based standardization of prone position thoracoscopic esophagectomy. Acta Med Okayama. 2014;68:111–7.PubMed

Title: Prone-position thoracoscopic resection of posterior mediastinal lymph node metastasis from rectal cancer
Authors: Yasuhiro Shirakawa
Kazuhiro Noma
Takeshi Koujima
Naoaki Maeda
Shunsuke Tanabe
Toshiaki Ohara
Toshiyoshi Fujiwara
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: World Journal of Surgical Oncology / Issue 1/2015
Electronic ISSN: 1477-7819
DOI: https://doi.org/10.1186/s12957-015-0466-0

At a glance: The STEP trials

Springer Medicine

Prone-position thoracoscopic resection of posterior mediastinal lymph node metastasis from rectal cancer

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2015

Radiofrequency ablation versus percutaneous ethanol injection for hepatocellular carcinoma: a meta-analysis of randomized controlled trials

Intestinal intussusception in a young women: unusual cause and specific management

Stage-based treatment for thymoma in due consideration of thymectomy: a single-center experience and comparison with the literature

The role of primary surgical treatment in young patients with squamous cell carcinoma of the larynx: a 20-year review of 34 cases

Primary linitis plastica of the entire colon in a background of ulcerative colitis: a case report

Prognostic value of HLA class I expression in patients with colorectal cancer