Double inferior vena cava in gynaecological oncology surgery

Gomes, Marina Sousa; Pardal, Catarina; Monteiro, Camila Nascimento; Serrano, Paula

doi:10.1136/bcr-2020-240361

Cited by 3 publications

(11 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…False-negative results are less likely to be observed in large vessels such as the IVC and the AA. However, there are case studies reporting a preoperative imaging failure to recognized bilateral duplication of the IVC [91,120]. Moreover, as it was mentioned above, variant IVC could be misdiagnosed with different retroperitoneal pathologies [93][94][95].…”

Section: Preventing Iatrogenic Injury Of Variant Vesselsmentioning

confidence: 99%

“…Many classifications have been introduced for better understanding of BDIVC [81]. Morita et al proposed a classification of BDIVC based on the pattern of interiliac communication [86,91]. According to Natsis, these vari- The right-sided DIVC is defined as a presence of two infrarenal right IVCs, which are located at the right side of the AA.…”

Section: Duplication Of the Inferior Vena Cavamentioning

confidence: 99%

“…Many classifications have been introduced for better understanding of BDIVC [81]. Morita et al proposed a classification of BDIVC based on the pattern of interiliac communication [86,91]. According to Natsis, these variations are classified according to size of the caliber trunks of both IVCs and the preaortic trunk [85].…”

Section: Duplication Of the Inferior Vena Cavamentioning

confidence: 99%

“…Authors concluded that these variations might cause serious hemorrhage, especially from the interiliac anastomosis [91]. Kose et al reported a rate of 17% of vessels variations among 229 women.…”

Section: Surgical Considerationsmentioning

confidence: 99%

“…Vessel variations in the paraaortic region and their clinical significance in Gynecologic Oncology are summarized in Table 1 [81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97][98][100][101][102][103][104][105][106]110].…”

Section: Preventing Iatrogenic Injury Of Variant Vesselsmentioning

confidence: 99%

See 4 more Smart Citations

Paraaortic Lymphadenectomy in Gynecologic Oncology—Significance of Vessels Variations

Kostov

Selçuk

Yordanov

et al. 2022

JCM

View full text Add to dashboard Cite

Lymphadenectomy has been an essential part of the surgical treatment in surgical oncology, as the lymphatic channels and nodes are the main dissemination pathway for most of the gynecological cancers. Pelvic and paraaortic lymphadenectomy are frequent surgical procedures in gynecologic oncology. Paraaortic lymph node dissection facilitates staging, prognosis, surgical and postoperative management of patients. It is one of the most challenging retroperitoneal surgeries. A comprehensive knowledge of the paraaortic region is mandatory. Intraoperative bleeding is the most common complication during lymphadenectomy due to direct vascular injury, poor tissue handling, exuberant retraction and possible anatomical variations of the vessels in the paraaortic region. Approximately, one-third of women will have at least one anatomic variation in the paraaortic region. It must be stressed that anomalous vessels may be encountered in every woman who will undergo surgery. Consequently, detailed knowledge of anatomical vessels variations is required in order to prevent iatrogenic vessel injury. The importance of these variations is well described in urology, vascular and general surgery. Conversely, in oncogynecological surgery, there are few articles, which described some of the vessels variations in the paraaortic region. The present article aims to propose a surgical classification and to describe the majority of vessels variation, which could be encountered during paraaortic lymphadenectomy in gynecologic oncology. Moreover, surgical considerations in order to prevent anomalous vessels injury are well described.

show abstract

Section: Preventing Iatrogenic Injury Of Variant Vesselsmentioning

confidence: 99%

Section: Duplication Of the Inferior Vena Cavamentioning

confidence: 99%

“…Many classifications have been introduced for better understanding of BDIVC [81]. Morita et al proposed a classification of BDIVC based on the pattern of interiliac communication [86,91]. According to Natsis, these variations are classified according to size of the caliber trunks of both IVCs and the preaortic trunk [85].…”

Section: Duplication Of the Inferior Vena Cavamentioning

confidence: 99%

Section: Surgical Considerationsmentioning

confidence: 99%

Section: Preventing Iatrogenic Injury Of Variant Vesselsmentioning

confidence: 99%

See 3 more Smart Citations

Paraaortic Lymphadenectomy in Gynecologic Oncology—Significance of Vessels Variations

Kostov

Selçuk

Yordanov

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

Embryological Aspects and Anatomical Variations of the Inferior Vena Cava – Its Importance in Gynecologic Oncology Surgery

Kostov

Hinkova

Dineva

et al. 2022

Journal of Biomedical and Clinical Research

View full text Add to dashboard Cite

Summary Surgical procedures of the retroperitoneum are often performed in gynecologic oncology surgery clinics. The most complex among them is paraaortic lymphadenectomy. It is generally performed in cases of bulky lymph nodes in ovarian carcinomas and sarcomas to achieve optimal cytoreduction. In the early stages of ovarian cancer, type II non-endometrioid endometrial cancer, and in advanced stages of cervical cancer, paraaortic lymphadenectomy is an integral part of staging. Moreover, the retroperitoneum is approached in cases of retroperitoneal gynecologic sarcomas. The largest vessels of the human body – the inferior vena cava and the abdominal aorta are localized in the retroperitoneum. Therefore, iatrogenic vessel injury during oncogynecological surgery is more likely to affect the inferior vena cava. Anatomical variations of the vein additionally increase the risk of vascular lesions. Therefore, surgeons should be aware of possible anatomical variations. The present article aimed to highlight the heterogeneity of anatomical variations of the inferior vena cava related to gynecologic oncology surgery. Embryogenesis of the vein and its variations are also discussed. Additionally, some anomalies of the ureter, associated with the embryogenesis of the inferior vena cava, are mentioned.

show abstract

Retroperitoneal lymphoma with double inferior vena cava shown using a 3D visualization model: A case report and literature review

Liao

Yao

et al. 2023

Exp Ther Med

View full text Add to dashboard Cite

Cases of a retroperitoneal tumor with double inferior vena cava (IVC) are rarely reported. The present report documents a case of a retroperitoneal lymphoma with double IVC, and discusses its embryological, clinical and radiological significance. In addition, previous cases of a double IVC are reviewed. In the present report, a 52-year-old male patient was hospitalized for a retroperitoneal lymphoma tumor and double IVC. CT urography was performed, whilst a three-dimensional visualization model was also established based on CT data, to reveal a retroperitoneal tumor with double IVC. The present case involved a double IVC with interiliac vein, which was type 2b from the left IVC. The retroperitoneal tumor was identified to be a lymphoma measuring 116x83 mm by percutaneous puncture biopsy. Surgical treatment is generally not recommended for lymphoma. Therefore, this patient was transferred to the Hematology Department for treatment according to the lymphoma management guidelines. The size of the tumor was reduced after chemotherapy during the patient's follow-up. In conclusion, the three-dimensional visualization model can directly and accurately present the anatomical features of the double IVC and its surrounding tissue structure. In addition, variations in the features of IVC can have important clinical significance. It is also important for surgeons, interventional radiologists and clinicians to understand such abnormalities in anatomical features to avoid misdiagnosis and reduce the occurrence of serious intraoperative complications.

show abstract

Double inferior vena cava in gynaecological oncology surgery

Cited by 3 publications

References 8 publications

Paraaortic Lymphadenectomy in Gynecologic Oncology—Significance of Vessels Variations

Paraaortic Lymphadenectomy in Gynecologic Oncology—Significance of Vessels Variations

Embryological Aspects and Anatomical Variations of the Inferior Vena Cava – Its Importance in Gynecologic Oncology Surgery

Retroperitoneal lymphoma with double inferior vena cava shown using a 3D visualization model: A case report and literature review

Contact Info

Product

Resources

About