Topographical anatomy of the bronchomediastinal lymph vessels: Their relationships and formation of the collecting trunks.

Murakami, Gen; Satô, Tatsuo; Takiguchi, Tohru

doi:10.1679/aohc.53.suppl_219

Cited by 34 publications

(40 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previously, we described the meso-like fascia as a landmark for surgical procedures that is penetrated by one of the major lymphatic drainage routes from the right paratracheal nodes. 22 In contrast, in fresh cadavers, diffusion through and/or along the mesolike fascia did not occur, although carotid spread caused by direct leakage was frequently observed, possibly due to the operator's unfamiliarity with using fresh cadavers. However, we consider that stiffening of the tissue caused by the postmortemfixation treatment would make diffusion easier than direct leakage.…”

Section: Discussionmentioning

confidence: 87%

“…In contrast, latex spread around or into the carotid sheath (Figs 5 and 6) was also often (14 of 45 specimens) combined with spread into the PVILS, but was not classed as "further" spread because it was caused by direct leakage from the injection site (11 of 14 specimens) or by diffusion from the PVILS through and/or along the thick, meso-like connecting fascia 22 between the alar fascia and the carotid sheath (8 of 14 specimens; Fig 5). Latex that leaked into the retropharyngeal space and/or around the carotid sheath sometimes reached the stellate ganglion (3 of 8 and 5 of 14, respectively).…”

Section: Latex Injection Into Postmortem-fixed Cadaversmentioning

confidence: 99%

See 1 more Smart Citation

Spread of injectate during C6 stellate ganglion block and fascial arrangement in the prevertebral region: An experimental study using donated cadavers

Honma

Murakami

Satô

et al. 2000

Regional Anesthesia and Pain Medicine

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 87%

Section: Latex Injection Into Postmortem-fixed Cadaversmentioning

confidence: 99%

Spread of injectate during C6 stellate ganglion block and fascial arrangement in the prevertebral region: An experimental study using donated cadavers

Honma

Murakami

Satô

et al. 2000

Regional Anesthesia and Pain Medicine

View full text Add to dashboard Cite

show abstract

“…Thus, our findings correspond with the recommendation by ITMIG and Hwang et al that patient selection should be determined by the extent of tumor invasion for LND. A noteworthy aspect of Hwang et al's study was conducting right paratracheal LND in patients with stage II or higher status for the reason that right paratracheal lymph node anatomically performs as a sentinel lymph node of thymic malignancies . In our study, 10 out of 13 (76.9%) N2 patients were retrospectively confirmed with right paratracheal lymph node.…”

Section: Discussionmentioning

confidence: 52%

A nomogram for predicting recurrence after complete resection for thymic epithelial tumors based on the TNM classification: A multi‐institutional retrospective analysis

Yun

Lee

Kim

et al. 2019

Journal of Surgical Oncology

View full text Add to dashboard Cite

Objectives This study aimed to compare the predictive ability between the Masaoka‐Koga (M‐K) staging system and the 8th TNM staging system for the recurrence of thymic epithelial tumors (TETs). In addition, a nomogram was developed on the basis of the proposed TNM classification to predict individual recurrence rate. Methods A retrospective study was performed on 445 patients who underwent complete resection (R0) of TETs between January 2000 and February 2013. Concordance index (C‐index) was used as a statistical indicator to quantify the prediction power of the prediction models. Results In multivariate analysis, tumor stage and WHO classification were independent recurrence factors in a predictive model on the basis of M‐K and TNM stage. The TNM model showed higher C‐index than the M‐K model (0.837 vs 0.817). The nomogram, on the basis of the TNM model, revealed a highly predictive performance, with a bootstrap‐corrected C‐index of 0.85 (95% CI, 0.76 to 0.93). Conclusions A predictive model based on the 8th TNM stage was slightly better than that based on M‐K stage with respect to recurrence after R0 of TETs. The proposed nomogram could be applied to estimate the individual recurrence rate and make decisions for proper surveillance.

show abstract

“…However, the aortic arch nodes are considered to be situated at the anterior surface of the aortic arch, the position of which seems to be away from (deep to) IML. Moreover, Murakami et al (1990) suggested that the terminal portion of IML, in other words, the last intercalated nodes of IML, varies in location according to the configuration of other drainage routes from the thoracic viscera, involving the possibility of the internal mammary trunk (Jossifow, 1930). Murakami et al (1990) also reported the existence of the superficial communicating vessels between the venous angles which run transversely in close relation to the BA nodes.…”

mentioning

confidence: 99%

Topographical Anatomy of the Internal Mammary Lymphatics in the Superior Mediastinum and Anterior Mediastinal Lymph Nodes

Fujii

Murakami

Yamagata

et al. 1994

Okajimas Folia Anatomica Japonica

Self Cite

View full text Add to dashboard Cite

The lymphatics lying along the internal thoracic artery and vein, which are termed the "internal mammary lymphatics" (IML), were minutely dissected in 134 adult cadavers (80 males and 54 females, aged 27-94 years) in order to clarify the configuration of IML in the superior mediastinum. On the right side, IML frequently terminated at the brachiocephalic angle (BA) nodes and often at the nodes situated at an intermediate position between the internal thoracic artery and vein. By way of these nodes, IML communicated with regional lymphatics of the lung and esophagus. Moreover, IML joined the right superficial bronchomediastinal trunks. On the left side, IML consistently terminated at a superficial group of aortic arch nodes, termed the "superior phrenic nodes", lying along the left phrenic nerve and lying medially to the internal thoracic vein and inferiorly to the left brachiocephalic vein. At and around these nodes, IML joined drainage routes from the so-called Botallo's nodes, which received the left lung lymphatics. The efferents of the superior phrenic nodes formed the left superior bronchomediastinal trunks, and passed deeply to the left brachiocephalic vein and on the subclavian artery toward the left venous angle region. Consequently, IML formed common drainage routes with the drainage routes from the lung and esophagus in the superior mediastinum. A transverse communicating route of IMLs via the retromanubrial nodes, lying inferior to or along the left brachiocephalic vein, was often observed. On the right side, the communicating route terminated at the BA nodes or the nodes situated at an intermediate position between the internal thoracic artery and vein. On the left side, the route consistently terminated at the superior phrenic nodes. In addition to the communicating route described above, we identified (1) a direct and superficial transverse communicating route, and (2) a deep transverse communicating route. The former route was composed of fasciculated large collecting vessels directly connecting the BA nodes to the left venous angle region, lying superficial to the left brachiocephalic vein. The latter route was composed of several large collecting vessels, crossing the brachiocephalic and left common carotid arteries superficially, and merging into the left phrenic nodes directly or occasionally via the pretracheal nodes. These results suggested that IMLs of both sides can closely communicate with each other in the superior mediastinum.

show abstract

Topographical anatomy of the bronchomediastinal lymph vessels: Their relationships and formation of the collecting trunks.

Cited by 34 publications

References 5 publications

Spread of injectate during C6 stellate ganglion block and fascial arrangement in the prevertebral region: An experimental study using donated cadavers

Spread of injectate during C6 stellate ganglion block and fascial arrangement in the prevertebral region: An experimental study using donated cadavers

A nomogram for predicting recurrence after complete resection for thymic epithelial tumors based on the TNM classification: A multi‐institutional retrospective analysis

Topographical Anatomy of the Internal Mammary Lymphatics in the Superior Mediastinum and Anterior Mediastinal Lymph Nodes

Contact Info

Product

Resources

About