Pelvic Lymphadenectomy in Gynecologic Oncology-Significance of Anatomical Variations.

anatomical landmarks anatomical variations gynecologic oncology pelvic lymph nodes pelvic lymphadenectomy

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
07 Jan 2021
Historique:
received: 28 11 2020
revised: 03 01 2021
accepted: 05 01 2021
entrez: 12 1 2021
pubmed: 13 1 2021
medline: 13 1 2021
Statut: epublish

Résumé

Pelvic lymphadenectomy is a common surgical procedure in gynecologic oncology. Pelvic lymph node dissection is performed for all types of gynecological malignancies to evaluate the extent of a disease and facilitate further treatment planning. Most studies examine the lymphatic spread, the prognostic, and therapeutic significance of the lymph nodes. However, there are very few studies describing the possible surgical approaches and the anatomical variations. Moreover, a correlation between anatomical variations and lymphadenectomy in the pelvic region has never been discussed in medical literature. The present article aims to expand the limited knowledge of the anatomical variations in the pelvis. Anatomical variations of the ureters, pelvic vessels, and nerves and their significance to pelvic lymphadenectomy are summarized, explained, and illustrated. Surgeons should be familiar with pelvic anatomy and its variations to safely perform a pelvic lymphadenectomy. Learning the proper lymphadenectomy technique relating to anatomical landmarks and variations may decrease morbidity and mortality. Furthermore, accurate description and analysis of the majority of pelvic anatomical variations may impact not only gynecological surgery, but also spinal surgery, urology, and orthopedics.

Identifiants

pubmed: 33430363
pii: diagnostics11010089
doi: 10.3390/diagnostics11010089
pmc: PMC7825766
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Stoyan Kostov (S)

Department of Gynecology, Medical University Varna "Prof. Dr. Paraskev Stoyanov", 9002 Varna, Bulgaria.

Yavor Kornovski (Y)

Department of Gynecology, Medical University Varna "Prof. Dr. Paraskev Stoyanov", 9002 Varna, Bulgaria.

Stanislav Slavchev (S)

Department of Gynecology, Medical University Varna "Prof. Dr. Paraskev Stoyanov", 9002 Varna, Bulgaria.

Yonka Ivanova (Y)

Department of Gynecology, Medical University Varna "Prof. Dr. Paraskev Stoyanov", 9002 Varna, Bulgaria.

Deyan Dzhenkov (D)

Department of General and Clinical Pathology, Forensic Medicine and Deontology, Division of General and Clinical Pathology, Faculty of Medicine, Medical University Varna "Prof. Dr. Paraskev Stoyanov", 9002 Varna, Bulgaria.

Nikolay Dimitrov (N)

Department of Anatomy, Faculty of Medicine, Trakia University, 6000 Stara Zagora, Bulgaria.

Angel Yordanov (A)

Department of Gynecologic Oncology, Medical University Pleven, 5800 Pleven, Bulgaria.

Classifications MeSH