Retroperitoneal vascular variations and their significance on gynecologic oncology surgery Retroperitoneal vasküler varyasyonlar ve jinekolojik onkoloji cerrahisindeki önemi
Turk Jinekolojik Onkoloji Dergisi, cilt.17, sa.4, ss.123-128, 2014 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 17 Sayı: 4
- Basım Tarihi: 2014
- Dergi Adı: Turk Jinekolojik Onkoloji Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.123-128
- Anahtar Kelimeler: Gynecologic oncology surgery, Retroperitoneal, Surgical morbidity, Vascular variations
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: Although systematic retroperitoneal lymphadenectomy is an essential part of most of the gynaecological oncology surgeries, this procedure may be responsible for significant morbidities and complications even for young patients with good performance status. Retroperitoneal vascular variations are not uncommon and are almost always diagnosed with intraoperative vessel injury. We are presenting our experience about retroperitoneal vascular variations and their major implications on gynaecological oncology surgeries. Methods: We collected the surgical data and operative notes of the patients who underwent retroperitoneal lymph node dissection for various indications in Gynecologic Oncology Department of our tertiary care hospital between January 2011 and January 2014. Results: A total of 621 patients underwent pelvic and paraaortic lymphadenectomy during the aforementioned time period. Totally 28 (4.5%) retroperitoneal vascular variations were detected. We had three complications (10.7%) one of them was the injury of a polar artery and resulted with renal ischemia in the lower pole of the right kidney. On the other hand, our major vascular injury rate in women with a normal anatomy was 3.6% (n=22). Conclusion: Retroperitoneal variations are not uncommon and variations of the venous system are the most common. Preoperative detection of them may guide the surgeon during the operation. Otherwise, the surgeon should always be cautious about vascular variations during systematic retroperitoneal lymphadenectomy.