Successful laparoscopy‐assisted en bloc 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

Abstract

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 en bloc 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.

A Comparison of the Preclinical Performance of the Echelon™+ Stapler with Thunderbird Reloads to Two Commercial Endoscopic Surgical Staplers

“…Since the GST 60 stapler was approved by the FDA in 2014 and the GST 45 stapler in 2016, GST has been added to several stapler reloads and used not only in GI tissues but also in general, thoracic, urologic and pediatric procedures on both non-vascular and vascular targeting tissues. [32][33][34][35] The Echelon+ TBGST Stapler has an advanced anvil curvature as well as wide, tapered staple pockets that are designed to improve the capture and formation of staples when the stapler is fired. In addition to glass fiber technology, stapler design has continued to evolve with TBGST reloads which are designed to provide optimal staple formation even on thick tissue.…”