Systematic (complete) para-aortic lymphadenectomy: description of a novel surgical classification with technical and anatomical considerations

✍ Scribed by C Pomel; R Naik; A Martinez; G Ferron; J Nassif; J Dauplat; A Jeyarajah

• Book ID: 111163536
• Publisher: John Wiley and Sons
• Year: 2011
• Tongue: English
• Weight: 203 KB
• Volume: 119
• Category: Article
• ISSN: 1470-0328
• DOI: 10.1111/j.1471-0528.2011.03171.x

✦ Synopsis

Please cite this paper as: Pomel C, Naik R, Martinez A, Ferron G, Nassif J, Dauplat J, Jeyarajah A. Systematic (complete) para‐aortic lymphadenectomy: description of a novel surgical classification with technical and anatomical considerations. BJOG 2012;119:249–253.

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.