Vascular and Urinary Tract Anatomic Variants Relevant to Para-Aortic Lymphadenectomy in Women with Gynecological Cancers
Background: Para-aortic lymphadenectomy is an essential part of gynecologic oncologic surgical treatment. The surgeon should be aware of the complex usual anatomy and its common variants. Methods: Between January 2021 and May 2023, 58 women underwent para-aortic lymphadenectomy for gynecologic malig...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/15/20/4959 |
| _version_ | 1797574351184199680 |
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| author | Nina Kovačević Marko Hočevar Gregor Vivod Sebastjan Merlo |
| author_facet | Nina Kovačević Marko Hočevar Gregor Vivod Sebastjan Merlo |
| author_sort | Nina Kovačević |
| collection | DOAJ |
| description | Background: Para-aortic lymphadenectomy is an essential part of gynecologic oncologic surgical treatment. The surgeon should be aware of the complex usual anatomy and its common variants. Methods: Between January 2021 and May 2023, 58 women underwent para-aortic lymphadenectomy for gynecologic malignancies. Results: Vascular and urinary tract anatomic variants were retrospectively reviewed from the prospective institutional database and results were compared with preoperative contrast-enhanced abdominal CT. Of these 58 women, 47 women had no vascular or urinary tract variants. One woman had a double inferior vena cava, two patients were found to have a retro-aortic left renal vein, four had accessory renal arteries, two had a double left ureter, one had a ptotic kidney in the iliac fossa, and one patient had bilateral kidney malrotation. Anatomic variants in the preoperative CT were described by a radiologist in only two patients, and additional vascular and urinary tract variants were found incidentally at the time of surgery. Conclusions: Acknowledgment of vascular and urinary tract variants is helpful for the surgeon to establish an appropriate surgical plan and to avoid iatrogenic surgical trauma. |
| first_indexed | 2024-03-10T21:22:41Z |
| format | Article |
| id | doaj.art-907e2e63df2b439aa7b61837a7403b15 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-10T21:22:41Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-907e2e63df2b439aa7b61837a7403b152023-11-19T15:58:32ZengMDPI AGCancers2072-66942023-10-011520495910.3390/cancers15204959Vascular and Urinary Tract Anatomic Variants Relevant to Para-Aortic Lymphadenectomy in Women with Gynecological CancersNina Kovačević0Marko Hočevar1Gregor Vivod2Sebastjan Merlo3Department of Gynecological Oncology, Institute of Oncology Ljubljana, 1000 Ljubljana, SloveniaDepartment of Gynecological Oncology, Institute of Oncology Ljubljana, 1000 Ljubljana, SloveniaDepartment of Gynecological Oncology, Institute of Oncology Ljubljana, 1000 Ljubljana, SloveniaDepartment of Gynecological Oncology, Institute of Oncology Ljubljana, 1000 Ljubljana, SloveniaBackground: Para-aortic lymphadenectomy is an essential part of gynecologic oncologic surgical treatment. The surgeon should be aware of the complex usual anatomy and its common variants. Methods: Between January 2021 and May 2023, 58 women underwent para-aortic lymphadenectomy for gynecologic malignancies. Results: Vascular and urinary tract anatomic variants were retrospectively reviewed from the prospective institutional database and results were compared with preoperative contrast-enhanced abdominal CT. Of these 58 women, 47 women had no vascular or urinary tract variants. One woman had a double inferior vena cava, two patients were found to have a retro-aortic left renal vein, four had accessory renal arteries, two had a double left ureter, one had a ptotic kidney in the iliac fossa, and one patient had bilateral kidney malrotation. Anatomic variants in the preoperative CT were described by a radiologist in only two patients, and additional vascular and urinary tract variants were found incidentally at the time of surgery. Conclusions: Acknowledgment of vascular and urinary tract variants is helpful for the surgeon to establish an appropriate surgical plan and to avoid iatrogenic surgical trauma.https://www.mdpi.com/2072-6694/15/20/4959para-aortic lymphadenectomygynecologic malignancyureterrenal arteryrenal veininferior vena cava |
| spellingShingle | Nina Kovačević Marko Hočevar Gregor Vivod Sebastjan Merlo Vascular and Urinary Tract Anatomic Variants Relevant to Para-Aortic Lymphadenectomy in Women with Gynecological Cancers Cancers para-aortic lymphadenectomy gynecologic malignancy ureter renal artery renal vein inferior vena cava |
| title | Vascular and Urinary Tract Anatomic Variants Relevant to Para-Aortic Lymphadenectomy in Women with Gynecological Cancers |
| title_full | Vascular and Urinary Tract Anatomic Variants Relevant to Para-Aortic Lymphadenectomy in Women with Gynecological Cancers |
| title_fullStr | Vascular and Urinary Tract Anatomic Variants Relevant to Para-Aortic Lymphadenectomy in Women with Gynecological Cancers |
| title_full_unstemmed | Vascular and Urinary Tract Anatomic Variants Relevant to Para-Aortic Lymphadenectomy in Women with Gynecological Cancers |
| title_short | Vascular and Urinary Tract Anatomic Variants Relevant to Para-Aortic Lymphadenectomy in Women with Gynecological Cancers |
| title_sort | vascular and urinary tract anatomic variants relevant to para aortic lymphadenectomy in women with gynecological cancers |
| topic | para-aortic lymphadenectomy gynecologic malignancy ureter renal artery renal vein inferior vena cava |
| url | https://www.mdpi.com/2072-6694/15/20/4959 |
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