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Small bowel intussusception: an unusual complication of retroperitoneal lymph node dissection
J B Thrasher1, D W Horne, M J Raife
1Department of Surgery, Fitzsimons Army Medical Center, Aurora, Colorado.
The Journal of Urology
|September 1, 1989
Summary
Small bowel intussusception is a rare complication following retroperitoneal lymph node dissection for testicular cancer. This study reports two cases, highlighting a previously undocumented risk and discussing potential preventative strategies.
Area of Science:
- Oncology
- Surgical Oncology
- Gastroenterology
Background:
- Modified bilateral retroperitoneal lymph node dissection is a standard procedure for nonseminomatous germ cell tumors of the testis.
- Potential complications include vascular injury, infertility, and small bowel obstruction due to adhesions.
Observation:
- Small bowel intussusception has not been previously reported as a complication of this surgery.
- Two cases of small bowel intussusception occurring after retroperitoneal lymph node dissection are presented.
Findings:
- The study identifies small bowel intussusception as a novel, albeit rare, complication following retroperitoneal lymph node dissection.
- Etiological factors and potential preventive measures for this complication are discussed.
Implications:
- This report expands the known spectrum of complications associated with retroperitoneal lymph node dissection.
- Awareness of this potential complication may guide surgical technique and postoperative monitoring in patients undergoing this procedure.