文章：

妇科癌症患者行主动脉旁淋巴结清扫术相关的血管与泌尿系统解剖变异

Vascular and Urinary Tract Anatomic Variants Relevant to Para-Aortic Lymphadenectomy in Women with Gynecological Cancers

原文发布日期：12 October 2023

DOI: 10.3390/cancers15204959

类型: Article

开放获取: 是

英文摘要：

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.

摘要翻译： 

背景：腹主动脉旁淋巴结清扫术是妇科肿瘤手术治疗的重要组成部分。外科医生应了解复杂的正常解剖结构及其常见变异。方法：2021年1月至2023年5月期间，58名女性因妇科恶性肿瘤接受了腹主动脉旁淋巴结清扫术。结果：通过回顾性分析前瞻性机构数据库中的血管及泌尿系统解剖变异情况，并与术前腹部增强CT结果进行对比。在这58名患者中，47名未发现血管或泌尿系统变异。其中1例存在双下腔静脉，2例发现左肾静脉走行于主动脉后方，4例存在副肾动脉，2例为左侧双输尿管，1例出现肾下垂至髂窝，1例为双侧肾脏旋转不良。术前CT检查中，仅有两例患者的解剖变异被放射科医生描述，其余血管及泌尿系统变异均在手术中偶然发现。结论：充分认识血管及泌尿系统解剖变异有助于外科医生制定合适的手术方案，避免医源性手术损伤。

原文链接：

Vascular and Urinary Tract Anatomic Variants Relevant to Para-Aortic Lymphadenectomy in Women with Gynecological Cancers