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Surgical Case Reports
Fig. 3 | Surgical Case Reports

Fig. 3

From: Laparoscopic resection of a metachronous secondary lymph node metastasis in the mesentery of the ileum after surgery for sigmoid colon cancer with ileum invasion: a case report

Fig. 3

a, b Tumor invasion was extended to the ileum. The arrow shows ileal invasion caused by sigmoidal tumor. c A small amount of ascites existed in the pouch of Douglas. d The invaded ileum was resected with sigmoid colon cancer. Ileal mesentery resection was performed to a minimum, and the arrow shows ileal mesenteric suture. e, f Laparoscopic high anterior resection with D3 lymph node dissection was performed. The arrow shows inferior mesenteric arterial root

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