Left Retroaortic Renal Vein and Superior Mesenteric Artery Vascular Lesion Risk

Mikel Gorostidi,Daniel Rodriguez,Cecilia Villalain,Irene Diez-Itza,Arantxa Lekuona

doi:10.31579/2578-8965/087

Abstract

To highlight the importance of preoperative assessment of imaging studies to rule out vascular abnormalities involving high bleeding risk in para-aortic lymphadenectomy for gynecological cancer.

Highlights

Demonstration of the measures to be taken and the areas of maximum danger to avoid an injury, as well as the steps taken to evidence a paraaortic sentinel lymph node, with narrated video footage
Multiple vascular anomalies and other non-diagnosed congenital malformations can be identifiable in preoperative imaging tests, but not reported in the radiological report
It is of vital importance the knowledge and preoperative assessment by the surgeon himself to avoid severe intraoperative complications

Summary

Introduction

Demonstration of the measures to be taken and the areas of maximum danger to avoid an injury, as well as the steps taken to evidence a paraaortic sentinel lymph node, with narrated video footage. Setting: The left retroaortic renal vein has a prevalence of 3% of cases [2]. Other venous anomalies such as anomalous venous drains mainly in the left infrarenal area, double vena cava, left vena cava, arterial abnormalities, such as APRA (Polar Renal Artery)[3] or anatomical anomalies such as horseshoe kidney can cause severe intraoperative lesions[4].

Results

Conclusion