Abstract
The aim of this study was to identify variants of retroperitoneal vascular structure during systematic paraaortic lymphadenectomy in patients with early-stage cervical cancer and to investigate the effects of these anomalies in surgical procedures. 79 patients who had undergone systematic paraaortic and bilateral pelvic lymph node dissection between 2006 and 2013 were included. Normal architecture and structural anomalies of inferior vena cava, renal arteries and veins, common iliac vein and ovarian vessels were studied. Variants of major retroperitoneal vascular structure were present in 10 patients (12.7%). Variants of renal vessels were identified in 8 patients (10.1%): supernumerary renal arteries and veins observed in 5 patients (6.3%); retroaortic left renal vein type I and II — in 3 patients (3.8%). A rare variant as double vena cava inferior was detected in 1 patient (1.3%). Vessel injury was present no one case in patients with variants of vascular structures and in 1 of 69 (1.4%) patients without variants of retroperitoneal vascular structure. There was no difference in intraoperative hemorrhage, transfusion red blood cell and rate of intraoperative hemoglobin between the groups. Thus the acquisition of knowledge and visualization of vascular variations decrease complications during systematic paraaortic and bilateral pelvic lymphadenectomy.References
Аничков М.Н., Лев И.Д. Клинико-анатомический атлас патологии аорты. Л: «Медицина». - 1967. — 212 с.
Aljabri В., MacDonald P.S., Satin R. et al. Incidence of major venous and renal anomalies relevant to aortoiliac surgery as demonstrated by computed tomography // Ann Vasc Surg. - 2001. - Vol. 15. - P. 615-618.
Bass J.E,, Redwine M.D., Kramer L.A. et al. 4Spectrum of congenital anomalies of the inferior vena cava: crosssectional imaging findings // Radiographics. - 2000. -Vol. 20. - P. 639-652.
Benedetti-Panici P., Maneschi F., Scambia G. et al. Anatomic abnormalities of the retroperitoneum encountered during aortic pelvic lymphadenectomy // Am J Obstet Gynecol. - 1994. - Vol. 170. - P. 111-116.
Gyimadu A., Salman M.C., Karcaaltincaba M., Yuce K. Retroperitoneal vascular aberrations increase the risk of vascular injury during in gynecologic cancers. — Arch Gynecol Obstet. - 2012. - Vol. 286 (2). - P. 449-455.
Jimenez R., Morant F. The Importance of Venous and Renal Anomalies for Surgical Repair of Abdominal Aortic Aneurysms In: Grundmann R. «Diagnosis, Screening and Treatment of Abdominal, ^ ^ ^ Thoracoabdominal and Thoracic Aortic Aneurysms»: InTech. — 2011. - P. 269
Kakaria A.K. Double Inferior Vena Cava // Sultan Qaboos Univ. Med. J. - 2007. - Vol. 7 (1). - P. 63-64.
Klemm P., Frber R., Khler C., Schneider A. Vascular anomalies in the paraaortic region diagnosed by laparoscopy in patients with gynaecologic malignancies // Gynecol. Oncol. - 2005. - Vol. 96. - P. 278-282.
Кос Z., Ulusan S., Oguzkurt L., Tokmak N. Venous variants and anomalies on routine abdominal multi-detector row CT. Eur J Radiol. - 2007. - Vol. 61. - P. 267-278.
Kose M.F., Turan T., Karasu Y. et al. Anomalies of Major Retroperitoneal Vascular Structure // Int. J. Gynecol. Cancer. - 2011. - Vol. 21 (7). - P. 1312-1319.
Matsuura T., Morimoto Y., Nose K. et al. Venous abnormalities incidentally accompanied by renal tumors // Urol. Int. - 2004. - Vol. 73. — P. 163-168.
Natsis К., Apostolidis S., Noussios G. et al. Duplication of the inferior vena cava: anatomy, embryology and classification proposal // Anatom. Science Internat. - 2010. - Vol. 85 (1). - P. 56-60.
Rischbieth H. Anomaly of the Inferion vena Cava:duplication of the post-renal segment // J. Anat. Physiol. - 1914. - Vol. 48 (Pt3). - P. 287-292.
All the Copyright statements for authors are present in the standart Publishing Agreement (Public Offer) to Publish an Article in an Academic Periodical 'Problems in oncology' ...