Complications in right-sided paraaortic lymphadenectomy: ventral tributaries of the inferior vena cava
Language English Country England, Great Britain Media print-electronic
Document type Journal Article
PubMed
23692119
PubMed Central
PMC4487764
DOI
10.1111/joa.12064
Knihovny.cz E-resources
- MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Lymph Node Excision adverse effects methods MeSH
- Retroperitoneal Space anatomy & histology MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Vena Cava, Inferior anatomy & histology MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
The purpose of this study was to describe the distribution and structure of ventral tributaries leading into the inferior vena cava where right-sided paraaortic lymphadenectomy is performed. The study examined 21 retroperitoneal specimens by graphic reconstruction, statistical evaluation, and histological examination of ventral tributaries (VTs). Seventy VTs were identified. The average number per specimen was 3.33. There were 20, 40, and 40% of VTs found in Levels I, II, and III, respectively. During the preparation, we observed an unusual arrangement of the IVC wall, into which VTs were led through a preformed sleeve-like channel and anchored near the lumen. This finding is a key mechanism that explains the ease with which VTs are extracted during surgery. Knowledge of the distribution and histological structure of VTs allows proper orientation of the retroperitoneal area of the front wall of inferior vena cava, which is essential for uncomplicated right-sided paraaortic lymphadenectomy. The histological structure of the VT ostium within the wall of the inferior vena cava explains why injury is easy during the procedure.
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Berek JS, Hacker NF. Practical Gynecologic Oncology. 4th edn. Philadelphia: Lippincott Williams & Wilkins; 2004.
Borovansky L. O podkovovitych ledvinach. Rozp II Tridy Ces Akad. 1927;25:1–16.
Childers JM, Surwit EA. Combined laparoscopic and vaginal surgery for the management of two cases of stage I endometrial cancer. Gynecol Oncol. 1992;45:46–51. PubMed
Childers JM, Hatch KD, Tran AN, et al. Laparoscopic para-aortic lymphadenectomy in gynecologic malignancies. Obstet Gynecol. 1993;82:741–747. PubMed
Clarke JA. An x-ray microscopic study of the vasa vasorum of the normal human ascending aorta. Z Zellforsch Mikrosk Anat. 1965;66:212–218. PubMed
FCAT. Terminologia Anatomica: International Anatomical Terminology. Stuttgart: Thieme Verlag; 1998.
Kachlik D, Baca V, Bozdechova I, et al. Anatomical terminology and nomenclature: past, present and highlights. Surg Radiol Anat. 2008;30:459–466. PubMed
Nezhat C, Childers J, Nezhat F, et al. Major retroperitoneal vascular injury during laparoscopic surgery. Hum Reprod. 1997;12:480–483. PubMed
Possover M, Plaul K, Krause N, et al. Left-sided laparoscopic para-aortic lymphadenectomy: anatomy of the ventral tributaries of the infrarenal vena cava. Am J Obstet Gynecol. 1998;179:1295–1297. PubMed
Sasaki K. Arterial supply to the lumbar lymph nodes in man. J Anat. 1990;168:229–233. PubMed PMC
Turner W. On the existence of a system of anastomosing arteries between and connecting the visceral and parietal branches of the abdominal aorta. Br Foreign Med Rev. 1863;32:222–227. PubMed PMC
Williams PL, Bannister LH, Gray H, editors. Gray's Anatomy: The Anatomical Basis of Medicine and Surgery. New York: Churchill Livingstone; 1995.
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A plea for an extension of the anatomical nomenclature: Organ systems
