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Case Report (Video Article- Supplement) Inframesenteric Retrocaval Bulky Lymph Node Excision
Received: 19 Aug 2019 | Received in revised form: 22 Oct 2019
Accepted: 31 Oct 2019 | Available online: 20 Nov 2019
J Clin Obstet Gynecol. 2020;30(1):26-8
DOI: 10.5336/jcog.2019-71040
Article Language: EN
Article Language: EN
Copyright Ⓒ 2024 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Paraaortic lymph node zone is one of the frequent metastatic sites of endometrial cancer. During paraaortic lymphadenectomy, retrocaval (postcaval) and retroaortic (postaortic) lymph nodes are not routinely dissected. However, in case of a bulky disease, all the macroscopically pathologic nodes need to be harvested. During resection of the bulky lymph nodes; obtaining a clear cleavage between the vessel and the tumor node, and a careful dissection are extremely important for an uncomplicated surgery. at the retrocaval area care should be taken to the lumbar arteries and veins.
Paraaortic lymph node zone is one of the frequent metastatic sites of endometrial cancer. During paraaortic lymphadenectomy, retrocaval (postcaval) and retroaortic (postaortic) lymph nodes are not routinely dissected. However, in case of a bulky disease, all the macroscopically pathologic nodes need to be harvested. During resection of the bulky lymph nodes; obtaining a clear cleavage between the vessel and the tumor node, and a careful dissection are extremely important for an uncomplicated surgery. at the retrocaval area care should be taken to the lumbar arteries and veins.
REFERENCES:
- AlHilli MM, Mariani A. The role of para-aortic lymphadenectomy in endometrial cancer. Int J Clin Oncol. 2013;18(2):193-9. [Crossref] [PubMed]
- Mariani A, Keeney GL, Aletti G, Webb MJ, Haddock MG, Podratz KC. Endometrial carcinoma: paraaortic dissemination. Gynecol Oncol. 2004;92(3):833-8. [Crossref] [PubMed]
- Selçuk İ, Ersak B, Tatar İ, Güngör T, Huri E. Basic clinical retroperitoneal anatomy for pelvic surgeons. Turk J Obstet Gynecol. 2018;15(4):259-69. [Crossref] [PubMed] [PMC]
- Federative Committee on Anatomical Terminology. Terminologia Anatomica: International Anatomical Terminology. 1st ed. Stuttgart: Thieme; 1998. p.292.
- Ozgul N, Basaran D, Boyraz G, Salman MC. Hemostatic control of inferior vena cava with tape traction maneuver in the presence of bulky metastatic paraaortic lymph nodes. Gynecol Oncol. 2015;138(2):492-3. [Crossref] [PubMed]
- Possover M, Plaul K, Krause N, Schneider A. Left-sided laparoscopic para-aortic lymphadenectomy: anatomy of the ventral tributaries of the infrarenal vena cava. Am J Obstet Gynecol. 1998;179(5):1295-7. [Crossref]
- Brand E. Fellow's vein. Gynecol Oncol. 1993;51(3):424.
- Morrow PC. Surgical anatomy. Morrow's Gynecologic Cancer Surgery. 2nd ed. South Coast Medical Publishing; 2012. p.105.
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