Systematic (complete) para-aortic lymphadenectomy: description of a novel surgical classification with technical and anatomical considerations.
The clinical indications for a complete para-aortic lymphadenectomy in the surgical management of gynaecological malignancies remain controversial. The debate on complete para-aortic node dissection is hindered by the absence of an identifiable and accepted definition for the procedure of systematic (complete) para-aortic node dissection. In this paper we propose a classification of para-aortic lymphadenectomy. We have identified and imaged the most common and rare para-aortic vascular anomalies that we have encountered. An understanding of the anatomical anomalies in this area also provides a useful reference for the surgical technique that is adopted in order to ensure the completeness of excision.
Jean Perrin Cancer Centre, Clermont-Ferrand, France. christophe.pomel@cjp.fr
C
C
Pomel
R
R
Naik
A
A
Martinez
G
G
Ferron
J
J
Nassif
J
J
Dauplat
A
A
Jeyarajah
D000273:Adipose Tissue / Q000601:surgery; D001011:Aorta / Q000033:anatomy & histology / Q000601:surgery*; D005260:Female; D005833:Genital Neoplasms, Female / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision / Q000145:classification* / Q000379:methods; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D012082:Renal Veins / Q000033:anatomy & histology / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000033:anatomy & histology / Q000601:surgery*