What question did this study set out to answer?

This case report aims to explore the feasibility of pancreaticoduodenectomy with superior mesenteric artery resection for isolated lymph node recurrence of colon cancer.

June 6, 2026International Journal of Surgery Case ReportsOpen Access

Pancreaticoduodenectomy with combined superior mesenteric artery and vein resection for isolated lymph node recurrence of colon cancer: a case report

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Authors

TMTakashi MiyataKanazawa Medical University SMShota MotoyamaKanazawa Medical University Hospital HNHisashi NishikiKanazawa Medical University

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Implication

Case report demonstrates surgical resection for isolated lymph node recurrence in colon cancer, suggesting aggressive management may be warranted.

Key Points

This case report aims to explore the feasibility of pancreaticoduodenectomy with superior mesenteric artery resection for isolated lymph node recurrence of colon cancer.
A 68-year-old man underwent laparoscopic right hemicolectomy and adjuvant chemotherapy, followed by imaging that revealed lymph node recurrence.
The patient received six cycles of FOLFOXIRI plus bevacizumab, leading to lesion size reduction before surgery.
Pancreaticoduodenectomy with combined SMA and vein resection was performed, including arterial reconstruction using a saphenous vein graft.
Histopathological examination confirmed an R0 resection, indicating no residual tumor after surgery.
Aggressive surgical management was supported by the solitary nature of the lesion and absence of additional metastases after chemotherapy.

Cite This Study

Miyata et al. (2026) studied this question.

synapsesocial.com/papers/6a23b9ca71a5da9775e75a02 https://doi.org/10.1097/rc9.0000000000000562

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Implication

Case report demonstrates surgical resection for isolated lymph node recurrence in colon cancer, suggesting aggressive management may be warranted.

Pancreaticoduodenectomy with combined superior mesenteric artery and vein resection for isolated lymph node recurrence of colon cancer: a case report

Discussion

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Implication

Key Points

Cite This Study

Pancreaticoduodenectomy with combined superior mesenteric artery and vein resection for isolated lymph node recurrence of colon cancer: a case report

Discussion

Member takes

Implication

Key Points

Cite This Study

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