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Systematic (complete) para‐aortic lymphadenectomy: description of a novel surgical classification with technical and anatomical considerations
Author(s) -
Pomel C,
Naik R,
Martinez A,
Ferron G,
Nassif J,
Dauplat J,
Jeyarajah A
Publication year - 2012
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.2011.03171.x
Subject(s) - medicine , lymphadenectomy , dissection (medical) , aortic dissection , radiology , surgery , completeness (order theory) , lymph node , aorta , pathology , mathematical analysis , mathematics
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.