Successful laparoscopy‐assisted <scp><i>en bloc</i></scp> resection of bulky omental malignant lymphoma involving the ascending colon and multiple lymph node metastases: Report of a technically demanding case in a pediatric patient

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  • Masakazu Murakami
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Mitsuru Muto
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Shunsuke Nakagawa
    Department of Pediatrics, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Chihiro Kedoin
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Mayu Matsui
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Koshiro Sugita
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Keisuke Yano
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Shun Onishi
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Toshio Harumatsu
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Koji Yamada
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Waka Yamada
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Makoto Matsukubo
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Takafumi Kawano
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Yuichi Kodama
    Department of Pediatrics, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Takuro Nishikawa
    Department of Pediatrics, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Tatsuru Kaji
    Department of Pediatric Surgery Kurume University School of Medicine Kurume Japan
  • Yasuhiro Okamoto
    Department of Pediatrics, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan
  • Satoshi Ieiri
    Department of Pediatric Surgery, Research Field in Medical and Health Sciences, Medical and Dental Area, Research and Education Assembly Kagoshima University Kagoshima Japan

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<jats:title>Abstract</jats:title><jats:p>We herein report a 13‐year‐old boy with a chief complaint of abdominal pain and a palpable mass. Contrast‐enhanced computed tomography (CT) scan showed an abdominal bulky tumor involving the ascending colon causing severe stenosis, with multiple abdominal lymph node metastases detected by positron emission tomography (PET)‐CT. Laparoscopic radical resection with right hemicolectomy and lymph node dissection was planned. The bulky tumor was dissected from the retroperitoneum and resected <jats:italic>en bloc</jats:italic> with the right‐side colon and omentum. The preoperatively detected metastatic lymph nodes were resected along with the tumor. A 6‐cm longitudinal umbilical incision was made, and the huge tumor was removed, with functional end‐to‐end anastomosis performed for intestinal reconstruction. The pathological diagnosis was Burkitt‐like lymphoma with 11q aberration. The postoperative course was uneventful. Laparoscopy‐assisted extirpation is feasible for pediatric solid tumors involving other organs, but indications and procedures should be carefully determined based on preoperative imaging, intraoperative findings and surgeon's skills.</jats:p>

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