Retroperitoneal vascular anomalies in paraaortic region: Impact on laparoscopic paraaortic lymphadenectomy in patients with gynecologic malignancies.
- Author:
Jong Woon BAE
1
;
Jeong Min EOM
;
Myoung Seok HAN
;
Joong Sub CHOI
;
Jung Hun LEE
;
Jung Hwa KO
;
Jung Tae KIM
Author Information
1. Department of Obstetrics and Gynecology, Dong-A University Hospital, Dong-A University School of Medicine, Busan, Korea.
- Publication Type:Original Article
- Keywords:
Paraaortic lymphadenectomy;
Vascular anomaly
- MeSH:
Humans;
Ligation;
Lymph Node Excision;
Renal Artery;
Retrospective Studies;
Veins;
Vena Cava, Inferior
- From:Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery
2012;24(1):41-45
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To document our experience of the vascular anomalies or variants in paraaortic region and intend to increase vigilance among the gynecological surgeons for presence of variable vascular anomalies or variants. METHODS: We conducted a retrospective chart review of 280 patients with various gynecologic malignancies who had undergone systemic laparotomic or laparoscopic paraaortic lymphadenectomy between November 2003 and July 2011. RESULTS: We discovered total nine patients of vascular anomalies during the surgery. Seven patients had an accessory polar renal artery. One patient had a duplicated inferior vena cava and the other had a right paravertebral vein. There were no vascular complications such as tearing, ligation or transection. CONCLUSION: It is not uncommon to encounter vascular anomalies in paraaortic region during the lymphadenectomy. Hence, the gynecological surgeons must be cognizant of various vascular anomalies occurring within this area to reduce the vascular accidents.
