Hydronephrosis Caused by Polyglycolic Acid Spacer Placement Prior to Carbon Ion Radiotherapy for Local Recurrence of Rectal Cancer: Case Report

In this case, a PGA spacer was inserted laparoscopically and hydronephrosis occurred early due to ureteral stenosis. Although the ureteral stenosis in the early postoperative period was thought to be caused by the PGA spacer, the persistence of ureteral stenosis was thought to be a late adverse event of CIRT. In cases where the ureter is exposed, such as after lateral lymph node dissection with neoadjuvant chemoradiotherapy, prophylactic ureteral stenting before inserting a PGA spacer may be considered.

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Publication Details

Journal
Surgical Case Reports
Published
2025-01-01
DOI
https://doi.org/10.70352/scrj.cr.25-0395
Primary Topic
Colorectal Cancer Surgical Treatments
Type
article
Field-Weighted Citation Impact
0.00

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article

Hydronephrosis Caused by Polyglycolic Acid Spacer Placement Prior to Carbon Ion Radiotherapy for Local Recurrence of Rectal Cancer: Case Report

Hirotoshi Takiyama, Norio Takemoto, Manabu Kawai, Yuki Nakamura et al.
Surgical Case Reports
Colorectal Cancer Surgical Treatments
article

Hydronephrosis Caused by Polyglycolic Acid Spacer Placement Prior to Carbon Ion Radiotherapy for Local Recurrence of Rectal Cancer: Case Report

Hirotoshi Takiyama, Norio Takemoto, Manabu Kawai, Yuki Nakamura, Takahiko Hyo, Yasuyuki Mitani, Kenji Matsuda, Katsuya Ueda, K Shimomura, Hiromitsu Iwamoto
article en

Abstract

In this case, a PGA spacer was inserted laparoscopically and hydronephrosis occurred early due to ureteral stenosis. Although the ureteral stenosis in the early postoperative period was thought to be caused by the PGA spacer, the persistence of ureteral stenosis was thought to be a late adverse event of CIRT. In cases where the ureter is exposed, such as after lateral lymph node dissection with neoadjuvant chemoradiotherapy, prophylactic ureteral stenting before inserting a PGA spacer may be considered.

Surgical Case ReportsVol. 11(1)
Wakayama Medical University (JP), National Institutes for Quantum Science and Technology (JP)
Wakayama Medical University
Openalex Percentile: Top 61%
Colorectal Cancer Surgical Treatments
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