A complete lymph node dissection (left para-aortic, intra-aortocaval, and right para-caval) was carried out (see extraperitoneal lymph node dissection). The colon ends were anastomosed, and a duodeno-jejunostomy was performed to reestablish gut continuity. Gastrostomy and feeding jejunostomy tubes were placed. Pathology of the tumor showed only mature yolk sac elements,
making the prognosis more optimistic.
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