İlker SELÇUKa,b, Zeliha Fırat CÜYLANb, Caner KÖSEb, Bülent ÖZDALb, Hakan YALÇINb aHacettepe University Faculty of Medicine, Department of Anatomy, Ankara, TURKEY bZekai Tahir Burak Women's Health Education and Research Hospital, Department of Gynecologic Oncology, Ankara, TURKEY
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.
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.