Laparoscopic Excision of Isolated Para-Aortic Lymph Node Recurrence

Abstract

목적: Others 방법: Between March 2011 and July 2011, 60 consecutive patients underwent robot or laparoscopic extended lymphadenectomy. We retrospectively reviewed the video-clip and analyzed the pattern of the internal iliac veins (IIV) at presacral area. 결과: IIV variations were classified seven types: type A, normal (n=39. 65%); type A with dilatated middle sacral vein (n=5, 8%); type B, left IIV connecting with the left external iliac vein centrally (n=5, 8%); type C, seperated trunk of the left IIV draining into the central left common iliac vein (CIV, n=1. 2%); type D, right IIV draining into the central left CIV (n=8, 13%); type E, right IIV draining into the central right CIV (n=0, 0%); and type F, the bilateral IIV connecting with each other before draining into the central left CIV (n=2, 3%). 결론: The prevalence rate of IIV anomalies was 26%, and the incidence of seperated trunks of the IIV was 18%. To avoid life-threatening the IIV injury during extended lymphadenectomy or sacral colpopexy, we should know the exact anatomical variations of IIV, especially type D and F.